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NEW QUESTION 53
The physician orders medication for a client's unpleasant side effects from the haloperidol. The most appropriate drug at this time is:
- A. Benztropine
- B. Triazolam (Halcion)
- C. Thiothixene
- D. Lorazepam
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Lorazepam is a benzodiazepine, or antianxiety agent, that potentiates the effects of _-aminobutyric acid in the CNS, which is not the CNS neurotransmitter EPS. (B) Triazolam is a benzodiazepine sedative- hypnotic whose action is mediated in the limbic, thalamic, and hypothalamic levels of the CNS by ў- aminobutyric acid. (C) Benztropine is an anticholinergic agent, and the drug of choice for blocking CNS synaptic response, which causes EPS. (D) Thiothixene is an antipsychotic and neuroleptic drug that blocks dopamine neurotransmission at the CNS synapses, thereby causing EPS.
NEW QUESTION 54
Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?
- A. A milkshake
- B. Fresh fruit
- C. A ham and cheese sandwich
- D. Saltine crackers and peanut butter
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) High levels of ammonia, a by-product of protein metabolism, can precipitate metabolic encephalopathy.
These clients need a diet high in carbohydrates and bulk. (B) Metabolic encephalopathy of the brain associated with liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism. (C, D) Metabolic encephalopathy in liver failure is precipitated by elevated ammonia levels.
Ammonia is a by-product of protein metabolism.
NEW QUESTION 55
The physician of an alcoholic client places him on a low-protein, high-carbohydrate diet. When choosing his menu, the client's best choice from the items below would be:
- A. Cheese omelette with ham and mushrooms, milk
- B. Liver and onions, macaroni and cheese, tea with sugar
- C. Baked chicken, baked potato with bacon bits, milk
- D. Waffles with butter and honey, orange juice
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A, B, D) These foods are high in protein, which needs to be restricted. (C) Serum ammonia levels can be decreased by restricting dietary protein intake. Waffles, honey, and orange juice are high in carbohydrate and low or completely lacking in protein. Butter, a concentrated fat, will provide extra calories.
NEW QUESTION 56
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
- A. Gives the medication as necessary for the acting-out behavior
- B. Encourages the client to discuss the voices
- C. Attempts to direct the client's attention to the here and now
- D. Exhibits sincere interest in the delusional voices
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. (B) This answer is correct. The nurse should appropriately present reality. (C) This answer is incorrect. Showing interest would reinforce the delusional system. (D) This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.
NEW QUESTION 57
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