A client reports a dry mouth, blurry vision and a feeling of not being able to fully empty their bladder. The nurse suspects the client is having which type of adverse reaction?
Neuroleptic malignant syndrome
Teratogenicity
Parkinson-like syndrome
Anticholinergic effects
The Correct Answer is D
A. Neuroleptic malignant syndrome: Causes fever, muscle rigidity, autonomic instability, and altered mental status-not dry mouth or blurry vision.
B. Teratogenicity: Refers to birth defects from medications taken during pregnancy.
C. Parkinson-like syndrome: Involves tremors, muscle rigidity, and bradykinesia-not dry mouth or blurry vision.
D. Anticholinergic effects: Symptoms of dry mouth, blurred vision, and urinary retention are classic signs of anticholinergic side effects caused by medications like antihistamines, tricyclic antidepressants, and some antipsychotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.
B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.
C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.
D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.
Correct Answer is A
Explanation
A. 0.2 mg: The correct way to write decimal doses is with a leading zero (0.2) to prevent misinterpretation.
B. 0.20 mg: Trailing zeros (0.20) should be avoided because they increase the risk of dosing errors (e.g., misread as "20 mg").
C. 12 mg: Not equivalent to 0.2 mg; incorrect dose.
D. 2.0 mg: Not equivalent to 0.2 mg, and trailing zeros should be avoided.
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