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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A 1 mL TB syringe: Tuberculin syringes lack insulin unit markings, increasing the risk of dosing errors.

B. U-50 or U-100 insulin syringe: Insulin syringes are specifically calibrated in units, ensuring accurate insulin administration.

C. A 3 mL luer lock syringe: This type is not designed for insulin; it lacks unit measurements and may lead to errors.

D. Depends upon the type of insulin: All insulins should be administered using insulin syringes (U-50 or U-100), not different syringe types.

A. Notify the nurse manager B. Observe the cert, Collect data C. Call the client's provider. D. Complete an incident report

Correct Answer is B

Explanation

A. Notify the nurse manager: Reporting is important, but assessing the patient comes first.

B. Observe the client and collect data: Patient safety is the priority. The nurse must assess the client for adverse effects first before notifying anyone.

C. Call the client’s provider: The provider needs to be informed, but only after assessing the client’s condition.

D. Complete an incident report: Documentation is essential but comes after assessing and ensuring client safety.

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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?

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Naxlex Comprehensive Predictor Exams

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