The nurse manager of a community mental health treatment facility is establishing a policy for staff members to follow when administering antipsychotic medications. Which standard is most important for the nurse-manager to include in this policy?

Teach clients to be aware that dryness of the mouth can occur with the use of antipsychotic drugs.

Monitor all clients receiving antipsychotic drugs for indications of tardive dyskinesia.

Ensure that all clients treated with antipsychotic drugs receive prompt renewals as needed.

Document all client therapeutic serum levels that relate to antipsychotic medications.

Answer and Explanation

The Correct Answer is B

Choice A: Teaching clients about the potential side effects of antipsychotic drugs is important, but it is not the most critical aspect of medication administration policy. Monitoring for side effects and adverse reactions is typically the responsibility of healthcare providers and nursing staff.

Choice B: Monitoring all clients receiving antipsychotic drugs for indications of tardive dyskinesia is a crucial standard to include in the policy. Tardive dyskinesia is a serious side effect associated with long-term use of antipsychotic medications, and early detection and intervention are essential to prevent its progression.

Choice C: Ensuring that all clients treated with antipsychotic drugs receive prompt renewals as needed is important for continuity of care, but it is not the primary focus of a policy for administering antipsychotic medications.

Choice D: Documenting all client therapeutic serum levels related to antipsychotic medications is relevant but may not apply to all clients receiving these medications. Monitoring for side effects and adverse reactions is generally more universally applicable and critical to patient safety.

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Correct Answer is B

Explanation

Choice A: Fats are an important component of the diet, but they do not typically require specific counting for meal planning in the same way that carbohydrates do for clients with type 1 diabetes mellitus.

Choice B: Carbohydrates are essential for the client to count for each meal and snack. Monitoring carbohydrate intake is a key aspect of managing blood glucose levels in clients with diabetes, especially for those using short-acting insulin to cover meals.

Choice C: Dairy products, while they contain carbohydrates, are not the primary nutrient that requires counting for meal planning in diabetes management.

Choice D: Protein is an important nutrient in the diet, but it does not require the same level of counting and monitoring as carbohydrates for clients with type 1 diabetes mellitus.

A. Check mental acuity. B. Measure urinary output. C. Inspect for sacral edema. D. Auscultate all lung fields.

Correct Answer is D

Explanation

Choice A: Checking mental acuity is important for assessing the client's cognitive function, but it may not be the most crucial intervention in the context of left- sided heart failure.

Choice B: Measuring urinary output is a valuable assessment in clients with heart failure, but it is not the most important intervention among the choices provided.

Choice C: Inspecting for sacral edema is a relevant assessment for clients with heart failure, especially when assessing for fluid retention. However, it may not be the highest priority in this case.

Choice D: Auscultating all lung fields is the most important intervention for a client with left-sided heart failure. Left-sided heart failure often results in pulmonary congestion, and auscultating the lung fields can provide critical information about the presence of crackles, wheezes, or other abnormal breath sounds, indicating worsening heart failure.

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The nurse manager of a community mental health treatment facility is establishing a policy for staff members to follow when administering antipsychotic medications. Which standard is most important for the nurse-manager to include in this policy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with type 1 diabetes mellitus who uses both short-acting and long-acting insulin adjusted doses throughout the day. Which nutrient is essential for the client to count for each meal and snacks?

Correct Answer is B

Explanation

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

Correct Answer is D

Explanation

A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?

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