A client is becoming increasingly agitated, anxious, and tense.
The nurse notes a clenched jaw and a change in the pitch of the client's voice.
Which of the following interventions should the nurse implement first?.

Obtain a prescription for haloperidol.

Take the client to the seclusion room.

Verbally de-escalate the client.

Place the client in restraints.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Obtaining a prescription for haloperidol is not the first intervention the nurse should implement. Medication should be considered only after non-pharmacological interventions have been attempted.

Choice B rationale:

Taking the client to the seclusion room is not the first intervention the nurse should implement. Seclusion should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

Choice C rationale:

Verbally de-escalating the client is the first intervention the nurse should implement. This involves using calm, clear communication to help the client regain control of their emotions.

Choice D rationale:

Placing the client in restraints is not the first intervention the nurse should implement. Restraints should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

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Correct Answer is D

Explanation

Choice A rationale:

Ringing in the ears is not a common side effect of haloperidol.

Choice B rationale:

A metallic taste is not typically associated with haloperidol use.

Choice C rationale:

Urinary incontinence is not a known side effect of haloperidol.

Choice D rationale:

Haloperidol can cause photosensitivity, making the skin more sensitive to the sun.

A. Phenobarbital B. Diazepam. C. Buprenorphine. D. Chlordiazepoxide.

Correct Answer is C

Explanation

Choice A rationale:

Phenobarbital is a barbiturate, not typically used in the treatment of opioid use disorder.

Choice B rationale:

Diazepam is a benzodiazepine, not typically used in the treatment of opioid use disorder.

Choice C rationale:

Buprenorphine is a medication approved for the treatment of opioid use disorder. It helps to reduce cravings and withdrawal symptoms.

Choice D rationale:

Chlordiazepoxide is a benzodiazepine, not typically used in the treatment of opioid use disorder.

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A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?.

Nursing Test Bank

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A client is becoming increasingly agitated, anxious, and tense.
The nurse notes a clenched jaw and a change in the pitch of the client's voice.
Which of the following interventions should the nurse implement first?.