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Answer B. Diphenhydramine, 25 to 50 mg I.M. or I.V., would quickly reverse this condition. Prochlorperazine and haloperidol are both capable of causing dystonia, not reversing it. Midazolam would make this patient drowsy.
Answer B. The nurse should directly orient a delusional patient to reality, especially to place and person. Option A and C encourage [...]

1. Which of the following medications would the nurse in-charge expect the doctor to order to reverse a dystonic reaction?
a. Procholorperazine (Compazine)
b. Diphenhydramine (Benadryl)
c. Haloperidol (Haldol)
d. Midazolam (Versed)
2. While pacing in the hall, a female patient with paranoid schizophrenia runs to the nurse and says, “Why are you poisoning me? [...]

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Answer A. As individuals become older, their livers metabolize drugs at a slower rate. Cumulative effects can occur and increase the risk of adverse reactions. Level of activity typically doesn’t affect a person’s reaction to medication. Elderly clients typically need lower doses, not higher.

Answer B. Stimulants produce mood swings, weight loss, and tachycardia. [...]

1. Which statement describes how elderly clients react to medication?
a. At increased risk for adverse reactions
b. Tolerate medication better because they’re less active
c. Metabolize medications quickly
d. All of the above
2. Nursing interventions for a male client taking central nervous system (CNS) stimulants include monitoring the client for which condition?
a. [...]

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