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NCLEX-RN · Question #670

NCLEX-RN Question #670: Real Exam Question with Answer & Explanation

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Question

A client is placed in five-point restraints after exhibiting sudden violence after illegal drug use, and haloperidol (Haldol) 5 mg IM is administered. After 1 hour, his behavior is more subdued, but he tells thenurse, "The devil followed me into this room, I see him standing in the corner with a big knife. When you leave the room, he's going to cut out my heart." The nurse's best response is:

Options

  • A"I know you're feeling frightened right now, but I want you to know that I don't see anyone in the
  • B"You'll probably see strange things for a while until the PCP wears off."
  • C"Try to sleep. When you wake up, the devil will be gone."
  • D"You're probably feeling guilty because you used illegal drugs tonight."

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