A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

Elevated blood pressure

Increased triglyceride level

Decreased blood glucose level

Weight loss

Answer and Explanation

The Correct Answer is B

A.   While risperidone can cause orthostatic hypotension, which may result in decreased blood pressure, it is not typically associated with elevated blood pressure.
B.   Risperidone has been associated with metabolic side effects such as weight gain, dyslipidemia, and increased triglyceride levels, which can contribute to cardiovascular risk.
C.   Risperidone is not typically associated with hypoglycemia; instead, it may lead to hyperglycemia or exacerbate existing diabetes.
D.   Weight gain is a more common adverse effect of risperidone rather than weight loss.

Monitoring for weight gain is essential due to its association with metabolic syndrome and cardiovascular risk factors.

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Correct Answer is B

Explanation

A. The deltoid muscle is typically used for intramuscular injections in adults, but it is not the preferred site for newborns due to their small muscle mass.
B. The vastus lateralis muscle, located on the lateral aspect of the thigh, is the preferred site for intramuscular injections in newborns and infants due to its large muscle mass and accessibility.
C. While the ventrogluteal site is commonly used for intramuscular injections in adults, it may not be as easily accessible or preferred in newborns.
D. The dorsogluteal site is not recommended for intramuscular injections in newborns due to the risk of injury to the sciatic nerve and other underlying structures.

A. "Stop taking alprazolam right away if you experience abdominal discomfort." B. "Watch for drowsiness and light-headedness while taking alprazolam." C. "Drinking alcohol decreases the effectiveness of alprazolam." D. "This medication has a low risk for physical dependence."

Correct Answer is B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

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A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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