HESI
1.
In the morning, a male patron with schizophrenia who's taking Prolixin decanoate (fluphenazine
decanoate) will be discharged. 20 days after discharge, a second medicinal drug dose is
scheduled. The patron tells the nurse that he is going on excursion in the Bahamas and will
return in 18 days. Which client assertion shows that health education is required? A) I will go to
the clinic to get my Prolixin injection when I get returned from my excursion on a tropical island.
B) While I am on vacation and when I go back, I will now not devour or drink something that
consists of alcohol.
C) If I have a sore throat or flu-like symptoms, I will inform my doctor. D) I will retain to take my
each day dose of Cogentin (benztropine mesylate). ANS-Photosensitivity is a facet effect of
Prolixin, and a holiday in the Bahamas, with its tropical island weather, will increase the client's
chance of experiencing this facet effect. He must be advised to put on sunscreen and to stay out
of direct daylight (A). (B, C, and D) denote accurate information. Prolixin and alcohol have
interaction in a synergistic manner (B). (C) lists signs and symptoms of agranulocytosis, which is
also a side effect of Prolixin. In order to keep away from extrapyramidal symptoms (EPS),
anticholinergic tablets, which includes Cogentin, are often prescribed prophylactically with
Prolixin.
Correct Response(s): A 2.
A male customer is admitted to the intellectual fitness unit due to the fact he turned into feeling
depressed about the loss of his spouse and job. The customer admits that he consumed
alcohol 12 hours in the past and has a records of alcohol dependence. Temperature, pulse, and
blood pressure (BP) are the crucial signs and symptoms. The nurse plans to give the consumer
lorazepam (Ativan) based on which priority nursing prognosis?
A) Suicidal ideation-related injury danger. B) The opportunity of harm from alcohol cleansing. C)
Ineffective coping and a information deficit. D) Personal crisis-related fitness-seeking behaviors
- ANS-The most sizeable nursing diagnosis is alcohol cleansing (B), as the customer's improved
important symptoms are an indication of alcohol detoxification. After administering Ativan to a
client with expanded essential signs and symptoms as a result of alcohol withdrawal, it's miles
essential to address retaining the patron's protection with regards to (A). (C and D) can be
addressed when instant desires for protection are met.
The correct reaction is B. Three.
The consumer's care plan is being developed at the side of the nursing group of workers
through the rate nurse. During the primary forty eight hours following the consumer's admission
to the unit, what is the most critical intervention to enforce? A) Keep a watch on your meals
intake and urge for food during food. B) Keep the consumer's environment safe. C) Maintain
steady, encouraging contact. D) Encourage participation in activities. - ANS-The most crucial