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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lithium carbonate is typically taken with food to minimize gastrointestinal side effects.
Taking it on an empty stomach may increase the risk of nausea and other GI symptoms.
B. It can take up to 3 weeks to see the full effects of lithium carbonate, which is used to treat bipolar disorder.
C. Clients do not need to follow a low-sodium diet; in fact, maintaining a consistent sodium intake is important while taking lithium,
D. While adequate fluid intake is important to prevent dehydration, there's no specific recommendation to limit fluid intake to 800 ounces per day. However, clients should be advised to maintain hydration and be cautious of excessive fluid intake, especially if they have kidney or cardiovascular issues.
Correct Answer is A
Explanation
A. Decreased libido is a potential adverse effect of finasteride due to its action on reducing dihydrotestosterone levels.
B. Prostate-specific antigen (PSA) levels typically decrease while taking finasteride, not increase. It's important for the nurse to educate the client about the potential impact of finasteride on PSA levels and the interpretation of PSA tests.
C. Avoiding grapefruit juice is not specifically relevant to the use of finasteride. Grapefruit juice can interact with certain medications by affecting their metabolism, but this is not a concern with finasteride.
D. The effects of finasteride on BPH symptoms may take several months to become noticeable.
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