A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?

buspirone

lithium

imipramine

risperidone

Answer and Explanation

The Correct Answer is C

A. Buspirone – This anxiolytic does not typically cause significant anticholinergic effects.

B. Lithium – Common side effects include tremor, polyuria, and mild gastrointestinal upset, not prominent anticholinergic effects.

C. Imipramine, a tricyclic antidepressant, has strong anticholinergic properties, leading to dry mouth, blurred vision, mydriasis, constipation, and urinary retention.

D. Risperidone – An atypical antipsychotic; anticholinergic effects are minimal compared to tricyclic antidepressants.

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Correct Answer is ["A","D","E"]

Explanation

A. Children with autism spectrum disorder (ASD) often demonstrate delayed or impaired language development.
B. Consistent limit testing is more characteristic of oppositional defiant disorder (ODD), not ASD.
C. A short attention span is more typical of ADHD, not ASD.
D. Repetitive motor behaviors (e.g., spinning toys, flapping hands) are hallmark features of ASD.
E. Ritualistic or rigid routines/behaviors are common in ASD, and disruptions may cause significant distress.

A. "I hate all of you!" B. "The other patient started the fight." C. "You wait until I tell my lawyer." D. "My fingers are tingly."

Correct Answer is D

Explanation

A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.

B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.

C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.

D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.

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A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).

Correct Answer is ["A","D","E"]

Explanation

An adult patient assaulted another patient and was then restrained. One hour later, which statement by the restrained patient requires the nurse's immediate attention?

Correct Answer is D

Explanation

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