Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder.

Which of the following assessments by the nurse would indicate a need for this medication?

The client has increasing aggression.

The client has elevated blood pressure.

The client has complaints of dizziness.

The client has extrapyramidal symptoms (EPS).

Answer and Explanation

The Correct Answer is D

A.   Increasing aggression may be an indication for a PRN medication, but benztropine specifically targets extrapyramidal symptoms (EPS).
B.   Elevated blood pressure is not a direct indication for benztropine; it is used to address EPS.

C.   Complaints of dizziness may not be directly related to EPS, which is the target of benztropine.
D.   Benztropine is an anticholinergic medication used to manage extrapyramidal symptoms (EPS) associated with antipsychotic medications like haloperidol.

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Correct Answer is D

Explanation

A. Orienting the client to the unit While orientation is important, the client's prolonged
immobility and stupor necessitate a physical assessment first to ensure there are no underlying medical issues contributing to this state.

B. Reinforcing reality with the client The client's catatonic state may make it difficult to effectively communicate or engage in reality orientation at this point. Addressing potential physical issues is the initial priority.

C. Establishing a nonthreatening relationship Building a therapeutic relationship is crucial, but given the client's current state, assessing for physical problems takes precedence.

D. Assessing the client for physical problems The client's prolonged catatonic state requires an
immediate physical assessment to rule out any underlying medical conditions contributing to his condition.

A. Placing the client on one-on-one observation while monitoring for suicidal ideations B. Conducting 15minute checks to ensure safety C. Encouraging the client to verbalize feelings related to suicide D. Completing a room search to ensure there are no harmful objects available to the client.

Correct Answer is A

Explanation

A. Placing the client on one-on-one observation while monitoring for suicidal ideations Given that the client is experiencing auditory hallucinations commanding self harm and is refusing to commit to a safety plan, one-on-one observation is necessary to ensure the client's safety. This

intervention provides constant monitoring and allows for immediate intervention if self harm is attempted.

B. Conducting 15minute checks to ensure safety While conducting regular safety checks is
important, in this case, more continuous monitoring is required due to the severity of the client's symptoms.

C. Encouraging the client to verbalize feelings related to suicide While encouraging communication is essential, in this urgent situation, immediate safety measures take precedence.

D. Completing a room search to ensure there are no harmful objects available to the client
Ensuring the environment is safe is important, but it should be done in conjunction with one-on- one observation to provide the highest level of safety for the client.

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Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

Nursing Test Bank

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Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder.

Which of the following assessments by the nurse would indicate a need for this medication?