A client diagnosed with schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should a nurse expect a physician to order to address this type of symptom?

Correct Answer: C

Rationale: The correct answer is C: Risperidone (Risperdal) to address the positive symptom of auditory hallucinations in schizophrenia. Risperidone is an atypical antipsychotic that is commonly used to treat both positive symptoms like hallucinations and negative symptoms like lack of motivation. It works by blocking dopamine receptors in the brain, helping to reduce hallucinations and delusions. A: Haloperidol (Haldol) is a typical antipsychotic that is more commonly used to address positive symptoms like hallucinations, rather than negative symptoms. It is not the best choice for addressing this specific symptom. B: Clonazepam (Klonopin) is a benzodiazepine that is used to treat anxiety and seizures, not typically used to address positive symptoms of schizophrenia like hallucinations. D: Clozapine (Clozaril) is an atypical antipsychotic that is more commonly used to address negative symptoms rather than positive symptoms like

Correct Answer: B

Rationale: The correct answer is B, a woman recovering from a car accident, as she has experienced a traumatic event which can lead to situational stress. This patient may be dealing with physical and emotional challenges post-accident. A: An infant learning to walk is not high risk for situational stress as this is a normal developmental milestone. C: A young couple expecting their first child is not necessarily high risk for situational stress, as it can be a joyful event for many. D: A man getting married to his long-time girlfriend may experience stress, but it is not situational stress as it is a planned life event.

Correct Answer: B

Rationale: The correct answer is B - Wait 1-5 minutes as prescribed. This is because for most inhalers, it is recommended to wait a specific amount of time between puffs to allow the medication to take effect and maximize its effectiveness. Waiting 1-5 minutes ensures proper absorption and distribution of the medication in the lungs. Administering immediately (choice A) may not allow the first puff to take full effect. Waiting 10 minutes (choice C) or 15 minutes (choice D) is too long and may not provide optimal therapeutic benefit. Therefore, waiting 1-5 minutes is the most appropriate choice.

Correct Answer: A

Rationale: Step 1: Swallowing elevates the thyroid gland, making it easier to palpate. Step 2: Swallowing also moves the thyroid gland closer to the skin surface. Step 3: This helps the nurse accurately assess the size, shape, and texture of the thyroid gland. Step 4: Holding breath, flexing, or hyperextending the neck does not provide optimal access for palpation. Summary: Swallowing is the correct choice as it enhances visibility and accessibility for thyroid gland palpation, while the other options do not provide the same benefits.

Correct Answer: A

Rationale: The correct answer is A: Polypharmacy. Polypharmacy refers to the concurrent use of multiple medications, which can lead to drug interactions and adverse effects, such as dizziness. In this case, the client is experiencing dizziness due to combining the herbal remedy with prescribed medications, highlighting the risks of polypharmacy. B: Sleep disorder is incorrect because dizziness is not typically a symptom of a sleep disorder. C: Cascade iatrogenesis is incorrect as it refers to a chain of events where one intervention leads to multiple adverse outcomes, which is not directly related to the client's dizziness in this scenario. D: Fluid volume overload is incorrect as it typically presents with symptoms like swelling, shortness of breath, and weight gain, rather than dizziness.