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Question 1 of 5

A client with advanced Alzheimer's disease has been prescribed haloperidol (Haldol). What clinical manifestation suggests that the client is experiencing side effects from this medication?

Correct Answer: B

Rationale: Haloperidol, an antipsychotic, can cause extrapyramidal side effects like tremors, which are common and indicate a neurological side effect.

Question 2 of 5

The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:

Correct Answer: B

Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.

Question 3 of 5

A patient is rushed to the ER after overdosing on benzodiazepines. The nurse anticipates an order for

Correct Answer: B

Rationale: Flumazenil is the antidote for benzodiazepine overdose, reversing sedation. Lorazepam and alprazolam are benzodiazepines, and naloxone is for opioid overdose.

Question 4 of 5

The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

Correct Answer: B

Rationale: Washing bed linens in hot water helps eliminate lice and nits, which is a key part of treatment for pediculosis capitis.

Question 5 of 5

The nurse finds that a client receiving digoxin (Lanoxin) 0.25 mg orally has an apical pulse of 54. Which of the following should the nurse do first?

Correct Answer: A

Rationale: An apical pulse of 54 is below the safe threshold (typically 60) for digoxin, indicating potential toxicity. Withholding the dose and notifying the provider is the priority.

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A client has been placed on the drug valproic acid (Depakene). Which would indicate to the nurse that the client is experiencing an adverse reaction to this medication?

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