A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.

Findings include blood pressure changes, hyperpyrexia, and diaphoresis.

The nurse should recognize that which of the following adverse effects may be occurring?

Pseudoparkinsonism.

Neuroleptic malignant syndrome.

Acute dystonia.

Tardive dyskinesia.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Pseudoparkinsonism is a side effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, such as tremors and rigidity. It does not typically cause hyperpyrexia or diaphoresis.

Choice B rationale:

Neuroleptic malignant syndrome is a rare but serious side effect of antipsychotic medications. It can cause severe fever (hyperpyrexia), unstable blood pressure, and heavy sweating (diaphoresis)4.

Choice C rationale:

Acute dystonia is a condition of sudden, involuntary muscle contractions. It does not typically cause hyperpyrexia or diaphoresis.

Choice D rationale:

Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, causing involuntary movements, especially around the mouth. It does not typically cause hyperpyrexia or diaphoresis.

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Correct Answer is A

Explanation

Choice A rationale:
Muscle weakness is a manifestation of mild lithium toxicity. Lithium toxicity can occur at therapeutic levels, so clients should be monitored for adverse effects.
Choice B rationale:
Constipation is not typically associated with lithium toxicity. Diarrhea, not constipation, is a symptom of lithium toxicity.
Choice C rationale:
Urinary retention is not a typical symptom of lithium toxicity. Increased urination and thirst are common side effects of lithium.
Choice D rationale:
Hyperactivity is not a typical symptom of lithium toxicity. Lithium is used to manage bipolar disorder and can help reduce hyperactivity.

A. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. B. The importance of limiting fluid intake when taking an antipsychotic. C. The importance of routine red blood cell count laboratory work when taking an antipsychotic. D. The importance of avoiding foods that contain tyramine when taking an antipsychotic.

Correct Answer is A

Explanation

Choice A rationale:

Adherence to medication, especially after the resolution of acute psychosis, is crucial when taking an antipsychotic like clozapine. This is because discontinuation can lead to a relapse of symptoms.

Choice B rationale:

There’s no specific need to limit fluid intake when taking an antipsychotic.

Choice C rationale:

While routine blood cell count laboratory work is important, it’s not specific to red blood cells but rather to monitor for agranulocytosis, a potential side effect of clozapine.

Choice D rationale:

Avoiding foods that contain tyramine is typically associated with monoamine oxidase inhibitors, not antipsychotics like clozapine.

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A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

Correct Answer is A

Explanation

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?.

Correct Answer is A

Explanation

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?.

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy. You understand that the following medications are used to reverse EPS. (Select All that Apply.).

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?.

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

A nurse is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.

Findings include blood pressure changes, hyperpyrexia, and diaphoresis.

The nurse should recognize that which of the following adverse effects may be occurring?