A nurse is reinforcing teaching with a client about haloperidol. Which of the following instructions should the nurse include in the teaching?

"Avoid foods that contain vitamin K while taking this medication."

"Stop taking the medication if drowsiness occurs."

"Rise slowly from a sitting position while taking the medication."

"Take this medication with folic acid to enhance absorption."

Answer and Explanation

The Correct Answer is C

A. "Avoid foods that contain vitamin K while taking this medication.": Vitamin K interactions are relevant to warfarin therapy, not haloperidol. There is no need for dietary restrictions related to vitamin K when taking haloperidol.

B. "Stop taking the medication if drowsiness occurs.": Drowsiness is a common side effect of haloperidol, but abruptly stopping the medication can lead to worsening psychotic symptoms or withdrawal effects. The client should be advised to use caution and report excessive sedation rather than discontinue independently.

C. "Rise slowly from a sitting position while taking the medication.": Haloperidol can cause orthostatic hypotension, especially in older adults. Advising the client to rise slowly helps prevent dizziness, lightheadedness, and falls, making it an important safety instruction.

D. "Take this medication with folic acid to enhance absorption.": Folic acid supplementation is not required for haloperidol absorption. Folic acid does not improve its effectiveness or bioavailability.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Reinforce teaching on coping strategies: Teaching and reinforcing coping strategies helps the client manage cravings, withdrawal symptoms, and triggers for substance use. It supports long-term recovery and empowers the client to use healthy alternatives to substance use.

B. Motivational interviewing: Motivational interviewing is an evidence-based approach that enhances the client’s motivation to change substance-using behaviors. It encourages self-reflection, goal setting, and commitment to treatment, making it an essential component of the care plan.

C. Encourage codependence: Encouraging codependence is inappropriate as it fosters unhealthy relational dynamics and undermines the client’s autonomy. The goal is to support independence and self-efficacy in managing substance use disorder.

D. Encourage personal hygiene: Supporting personal hygiene helps maintain dignity, improves self-esteem, and promotes overall health during withdrawal and inpatient treatment. It also reinforces structure and routine, which are beneficial in recovery.

E. Promote sleep: Sleep promotion is important because withdrawal from substances like heroin and methamphetamine can disrupt normal sleep patterns. Adequate rest supports physical recovery, reduces agitation, and improves cognitive function.

F. Administer disulfiram: Disulfiram is used for alcohol use disorder, not for opioid or stimulant withdrawal. Administering it would be inappropriate for a client using heroin and methamphetamine.

A. Paranoia B. Sedation C. Seizures D. Dilated pupils E. Tachycardia F. Hypertension G. Pinpoint pupils

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"B,C"},"E":{"answers":"B,C"},"F":{"answers":"B,C"},"G":{"answers":"B,C"}}

Explanation

• Paranoia: Stimulant intoxication, such as from cocaine or methamphetamine, often causes heightened alertness, suspiciousness, and paranoia. Hallucinogens can also alter perception and cognition, leading to paranoid ideation. Paranoia is not characteristic of opioid intoxication.

• Sedation: Opioid intoxication commonly produces CNS depression, resulting in drowsiness, lethargy, and decreased responsiveness. Sedation is a hallmark feature of opioid use and helps differentiate opioids from stimulants and hallucinogens, which typically cause increased arousal.

• Seizures: Seizures can occur with high doses or toxicity of stimulants due to CNS overstimulation and excitotoxicity. Hallucinogens may also precipitate seizures in susceptible individuals. Opioid intoxication rarely causes seizures unless in combination with other substances.

• Dilated pupils: Pupillary dilation (mydriasis) is a classic effect of stimulant intoxication from increased sympathetic activity. Hallucinogens, such as LSD or psilocybin, also cause mydriasis due to their effects on the autonomic nervous system.

• Tachycardia: Stimulants increase catecholamine release, leading to tachycardia. Hallucinogens can also increase heart rate by stimulating the sympathetic nervous system. Opioids generally cause bradycardia or normal heart rate unless hypoxia is present.

• Hypertension: Elevated blood pressure is common with stimulant use due to increased sympathetic activity. Hallucinogens can also cause transient hypertension. Opioids typically lower blood pressure through CNS depression and vasodilation.

• Pinpoint pupils: Miosis, or pinpoint pupils, is a classic sign of opioid intoxication. It results from parasympathetic stimulation via the Edinger-Westphal nucleus. Stimulants and hallucinogens usually cause normal or dilated pupils rather than constriction.

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A nurse is reinforcing teaching with a client about haloperidol. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","E"]

Explanation

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"B,C"},"E":{"answers":"B,C"},"F":{"answers":"B,C"},"G":{"answers":"B,C"}}

Explanation

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