ATI RN Mental Custom Health Next Gen -Nurselytic

Questions 68

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ATI RN Mental Custom Health Next Gen Questions

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Question 1 of 5

Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting symptoms of acute dystonia, a side effect of haloperidol. Benztropine is a commonly used anticholinergic medication that can quickly reverse these symptoms. It is important to address this promptly to prevent further complications. Holding the medication and contacting the prescriber (choice
A) can be done after addressing the acute symptoms. Wiping the patient with cold water or alcohol (choice
B) may provide temporary relief but does not address the underlying cause. Reassuring the patient about tardive dyskinesia (choice
D) is incorrect as the current symptoms are not related to tardive dyskinesia.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Similar Questions

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