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 A

Explanation

A. A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B. Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C. This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D. Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.

Correct Answer is ["0.5"]

Explanation

To administer the correct dose of vitamin K, which is 1 mg, the nurse should refer to the concentration of the available vitamin K injection.

The available concentration is 1 mg per 0.5 mL. Therefore, to deliver a dose of 1 mg, the nurse needs to administer 0.5 mL. When rounding to the nearest tenth, the amount remains 0.5 mL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?

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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