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Part 1 of 3 A nurse is caring for a client who has schizophrenia. Medical History Client admitted with long-standing history of non-adherence to medication regime (haloperidol 40 mg PO daily) and recreational drug use. Client presents with positive symptoms including disorganized and bizarre thoughts, persecutory delusions, and use of neologisms. Will start client on haloperidol 10 mg IM every 6 hr while hospitalized. Vital Signs Blood pressure: 192/100 mm Hg Temperature 39.6º C (103.3º F) Heart rate: 126/min Respiratory rate: 24/min O2 saturation: 92% on room air Nurses Notes Client found lying on bed in room. Sluggish response to verbal commands. Incontinent of urine. Skin diaphoretic and hot to touch.  Extremities are rigid. Vital signs obtained and provider notified. Which condition is this patient most likely experiencing?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

How do antianxiety medications, such as benzodiazepines produce a calming effect by which of the following actions?

A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, “I’m finally cured.” How should the nurse interpret this behavior as a cue to modify the treatment plan?

When a client is admitted to an inpatient mental health unit with the diagnosis of obsessive-compulsive disorder, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach?

A nurse is caring for a client who has depression. Which of the following noninvasive treatments should the nurse recommend to the client?

A depressed client on an inpatient unit says to the nurse, “My family would be better off without me.” What is the nurse’s best response?

Directions: Calculate the following dosage. Round answer to the tenth. Use a leading zero if it applies. Do not use a trailing zero. Order: Clindamycin 0.475 g IM Available:How many mL will the nurse administer? __________mL

Directions:  Calculate how much Na+ the client will receive from Amphogel daily. Round answer to the tenth. Use a leading zero if it applies. Do not use a trailing zero.  Order: Amphogel 1.5 ounces every 8 hours.  Available:  The Amphogel bottle indicates that there is 0.45 mg Na+ in each 5 mL.  How much Na+ in mg will the client receive in a 24 hour period? __________mg 

Directions: Calculate the number of mg needed for the nurse to administer. If rounding is necessary, round to the nearest whole number. Order:  A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr. The client weighs 88 lb. How many mg should the nurse administer per dose? __________mg