A client currently taking a first-generation antipsychotic (FGA) comes to the clinic for evaluation. The client presents with a shuffling gait and mild tremors. Which order would the nurse expect the provider to give?
Order a direct dopamine antagonist.
Increase the dose of the antipsychotic medication.
Withhold the medication for two days.
Order an anticholinergic medication.
The Correct Answer is D
Anticholinergic medications can be used to treat extrapyramidal symptoms (EPS) such as tremors and shuffling gait that can occur as side effects of first-generation antipsychotics ¹².
Option A is not correct because a direct dopamine antagonist would not be used to treat EPS.
Option B is not correct because increasing the dose of the antipsychotic medication could worsen EPS.
Option C is not correct because withholding the medication for two days could lead to a relapse of the underlying condition being treated by the antipsychotic.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Benzodiazepines are medications that work in the central nervous system and are used for a variety of medical conditions such as anxiety, seizures, and alcohol withdrawal ². They work by blocking excessive activity of nerves in the brain and other areas in the central nervous system ². While benzodiazepines can be effective in treating these conditions, they are not a cure and should be used as part of a comprehensive treatment plan that may include counseling or other forms of therapy ¹.
Option A is not correct because benzodiazepines do not require frequent blood counts to avoid adverse effects.
Option B is not correct because the decision to stop a medication should be made by a healthcare provider based on an individual's response to treatment.
Option D is not correct because benzodiazepines are not intended for long-term use and should be used for the shortest possible time to achieve therapeutic goals ².
Correct Answer is C
Explanation
Ethosuximide is the medication of choice for the management of absence seizures ³⁵. It is a first-line medication that has been shown to be effective in treating absence seizures ⁵.
Options A and B are incorrect because carbamazepine and phenytoin are not considered first-line medications for absence seizures.
Option D is incorrect because while valproate can be used to treat absence seizures, ethosuximide is preferred due to its effectiveness and safety profile ³.
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