A client receiving haloperidol calls urgently to the nurse and ...

[bclement10]

A client receiving haloperidol calls urgently to the nurse and reports that his eyes have rolled up-ward and he cannot redirect his gaze.
 
  The nurse reassures the client that she will obtain medication that will correct this phenomenon, and she contacts the physician to seek an order for:
  1. Fluphenazine (Prolixin)
  2. Citalopram (Celexa)
  3. Benztropine (Cogentin)
  4. Risperidone (Risperdal)

Question 2

When following up on SSRI medication side effects, the nurse will need to make specific inquir-ies about:
 
  1. Anticholinergic symptoms
  2. Alpha-adrenergic blockade
  3. GI tract symptoms
  4. Sexual dysfunction

[sokh]

Answer to Question 1

ANS: 3
The nurse should recognize the client's problem as dystonia and know the treatment is IM ad-ministration of an antiparkinson drug such as benztropine or an antihistamine such as diphenhy-dramine (Benadryl) for which a physician's order is necessary. Option 1 would worsen the con-dition. Options 2 and 4 would not be useful.

Answer to Question 2

ANS: 4
SSRIs often cause sexual dysfunction, a symptom clients may be reluctant to bring up voluntari-ly. Clients readily bring up the side effects mentioned in the other options.