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
Traditional antipsychotics can increase tremors in people with Parkinson's disease ¹. These medications can block dopamine receptors in the brain, which can worsen Parkinson's symptoms ¹.
Option A is not correct because beta-blockers are not known to increase tremors in Parkinson's disease.
Option B is not correct because non-steroidal anti-inflammatory drugs (NSAIDs) are not known to increase tremors in Parkinson's disease.
Option D is not correct because barbiturates are not known to increase tremors in Parkinson's disease.
Correct Answer is C
Explanation
Dantrolene is a medication that can be used to manage symptoms of malignant hyperthermia ¹. Malignant hyperthermia is a life-threatening reaction to certain medications used during general anesthesia ².
Dantrolene works by inhibiting the release of calcium in the muscles, which helps control the condition and restore normal vital signs ³.
Option A is not correct because baclofen is not used to manage symptoms of malignant hyperthermia.
Option B is not correct because diazepam is not used to manage symptoms of malignant hyperthermia.
Option D is not correct because tizanidine is not used to manage symptoms of malignant hyperthermia.
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