A client with dementia who was taking olanzapine was recently prescribed chlorpromazine for hiccups. The client is currently experiencing high fever, unstable blood pressure, increased confusion, and rigidity. What does the nurse suspect?
Accelerated dementia
Infection
Aspiration
Neuroleptic malignant syndrome
The Correct Answer is D
The client's symptoms of high fever, unstable blood pressure, increased confusion, and rigidity are consistent with neuroleptic malignant syndrome (NMS) ⁴. NMS is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication ⁴. In this case, the client was taking olanzapine and was recently prescribed chlorpromazine, both of which are antipsychotic medications that can cause NMS ⁴.
Option A is incorrect because accelerated dementia would not cause the sudden onset of these symptoms.
Option B is incorrect because an infection would not explain the sudden onset of these symptoms after starting a new medication.
Option C is incorrect because aspiration would not cause rigidity or unstable blood pressure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Donepezil is a medication that can cause side effects such as dizziness and fainting ¹. Therefore, it is important for the client to rise slowly from a lying or sitting position to prevent falls.
Option A is incorrect because donepezil can be taken with or without food.
Option B is incorrect because donepezil does have side effects ¹.
Option C is incorrect because the health care provider added donepezil to the client's daily routine, not to replace carbidopa/levodopa.
Correct Answer is D
Explanation
Intravenous (IV) administration of medication involves injecting the medication directly into a vein. This route of administration has the most rapid onset of action because the medication is delivered directly into the bloodstream and can be quickly distributed throughout the body.
Options a, b, and c are not correct because they do not have as rapid an onset of action as intravenous administration. Sublingual administration involves placing the medication under the tongue, where it is absorbed into the bloodstream through the mucous membranes. Intradermal administration involves injecting the medication into the top layer of the skin. Subcutaneous administration involves injecting the medication into the fat tissue just under the skin. While these routes can be effective for delivering medication, they do not have as rapid an onset of action as intravenous administration.
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