Nur326 Psych Exam 2

NUR326 PSYCH EXAM 2 EXAM QUESTIONS, CORRECT VERIFIED ANSWERS AND RATIONALE 100% PASS (A+) A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching? A. "you may experience dizziness upon standing when taking this medication" B. "this medication will decrease your symptoms of ocd" C. "this medication may cause excess salivation" D. "you can stop taking the medication if the adverse effects are bothersome" Answer & rationale a- haloperidol can cause orthostatic hypotension B- used for schizophrenia, not ocd C- may cause dry mouth, not excess salvation D- do not discontinue abruptly A nurse is caring for a client who has severe manifestations of schizophrenia and is medication prn for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects? A. Dysrhythmias B. Cataracts C. Pancreatitis D. Bleeding Answer & rationale a- dysrhythmias are a risk for a client taking antipsychotics B- risk for glaucoma, but not cataracts C- risk for hepatitis, but not pancreatitis D- not true A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect? A. Weight gain B. Dependent edema C. Nightmares D. Bradycardia Answer & rationale a- this is an expected adverse effect B- not an adverse affect C- not an adverse effect D- tachycardia is a potential adverse effect, not bradycardia A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of this med? A. Extrapyramidal symptoms B. Fever C. Intractable hiccups D. Excessive salivation Answer & rationale a- associated with typical antipsychotics (movement disorders) B- not an adverse effect C- not an adverse effect D- not an adverse effect A nurse is caring for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide? A. "this medication might turn your urine orange" B. "sleepiness should subside within a week" C. "stop the medication if hypotension occurs" D. A low-grade fever is expected with the first doses" Answer & rationale b- first-gen antipsychotics can cause sedation with early treatment A- might turn urine pink to reddish brown C- rise slowly but do not stop med abruptly D- med can cause leukopenia or agranulocytosis; notify provider immediately if having sore throat, fever, or malaise A nurse is caring for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching? A. Increase fluid and fiber intake to prevent constipation B. Have blood pressure checked frequently for hypertension C. Expect to have blood checked weekly for serum electrolyte imbalances D. Increase caloric intake to prevent weight loss Answer & rationale a- constipation is common adverse effect B- orthostatic hypotension is common, not hypertension C- changes in electrolytes are not expected; cbc and liver function will be checked monthly D- weight gain, dyslipidemia, and increases in blood glucose are common adverse effects of this medication