A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
"The medication may cause ringing in my ears."
"The medication may cause urinary incontinence."
"I may be more sensitive to the sun while taking this medication."
"I may experience a metallic taste while taking this medication."
The Correct Answer is C
A. "The medication may cause ringing in my ears.": Ringing in the ears (tinnitus) is not a common side effect of haloperidol. This statement does not indicate understanding of the medication’s typical side effects.
B. "The medication may cause urinary incontinence.": Urinary incontinence is not a common side effect of haloperidol. This statement is not accurate regarding the medication's effects.
C. "I may be more sensitive to the sun while taking this medication.": This statement indicates understanding, as haloperidol can increase sensitivity to sunlight, making clients more susceptible to sunburn.
D. "I may experience a metallic taste while taking this medication.": A metallic taste is not a common side effect of haloperidol. This statement does not reflect the typical effects of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Current Medical condition: The situation component of ISBARR focuses on the patient's current medical condition and why they are in the facility. It provides a snapshot of the client's immediate situation.
B. List of medications: While important, the list of medications is more relevant to the background or assessment components of the report.
C. Vital signs: Vital signs are part of the assessment, providing data on the client’s current health status.
D. Treatment: Treatment information falls under the recommendation or background sections of the report, detailing the plans or historical context rather than the immediate situation.
Correct Answer is A
Explanation
A. Use soap and water to clean the client's perineum: Correct. Using soap and water is the standard method for cleaning the perineum to ensure it is effectively cleaned while maintaining hygiene.
B. Use the same section of washcloth for each area cleaned: Incorrect. To prevent cross-contamination, the nurse should use a clean section of the washcloth or a new washcloth for each area cleaned.
C. Allow the client's perineum to air dry: Incorrect. The perineum should be gently patted dry with a clean towel to prevent irritation and ensure proper drying.
D. Start at the client's rectum and clean to the client's perineum: Incorrect. The proper technique is to clean from the perineum to the rectum to prevent the spread of bacteria from the rectal area to the vaginal area.
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