Extract:

Question 1 of 5

Which sign/symptom indicates that a client being treated with haloperidol may be experiencing an adverse effect of this medication?

Correct Answer: D

Rationale: Adverse effects of antipsychotic medications such as haloperidol include marked drowsiness and lethargy; extrapyramidal symptoms, including parkinsonism effects (drooling); dystonias; akathisia; and tardive dyskinesia. The correct option is a parkinsonism effect of this medication, excessive drooling. Nausea, hypotension, and blurred vision are occasional side effects of the medication.

Question 2 of 5

You are going to perform gastric lavage for your adult client who was accidentally poisoned. How many mLs of irrigating solution would you instill after each suctioning?

A. 100 mLs B. 250 mLs C. 400 mLs D. 500 mLs

Correct Answer: B

Rationale: Gastric lavage typically involves instilling 200-300 mL of solution (commonly 250 mL) per cycle to effectively wash out the stomach contents.

Question 3 of 5

The mother calls the nurse to report that her toddler has just been burned on the arm. The nurse should advise the mother to first:

A. Pack the arm in ice, then take the child to the closest emergency department. B. Rub the burned area with an antibacterial ointment, then call the doctor. C. Run cool water over the burned area, then wrap it in a clean cloth. D. Call the child's health care provider immediately, then wrap the arm in a clean cloth.

Correct Answer: C

Rationale: Running cool water over the burn reduces tissue damage and pain, followed by wrapping in a clean cloth to protect the area before seeking medical care.

Question 4 of 5

A client with a history of multiple sclerosis is prescribed interferon beta-1a (Avonex). The nurse should instruct the client to report which of the following side effects immediately?

A. Flu-like symptoms. B. Depression. C. Fatigue. D. Injection site redness.

Correct Answer: B

Rationale: Depression is a serious side effect of interferon beta-1a, requiring immediate reporting due to the risk of worsening mental health.

Question 5 of 5

A client taking clozapine (Clozaril) states, 'I think I'm getting the flu. I have a fever and feel weak.' Which of the following should the nurse do next?

A. Tell the client to wait another day to see if other symptoms of the flu appear. B. Advise the client to take over-the-counter medication for the flu. C. Discuss the importance of maintaining an adequate fluid intake. D. Report the client's symptoms to the physician after taking the client's temperature.

Correct Answer: D

Rationale: Fever and weakness in a client taking clozapine may indicate agranulocytosis, a serious side effect, requiring immediate physician notification after confirming the temperature.