A nurse is caring for a client newly prescribed aripiprazole, a third-generation antipsychotic, for the treatment of schizophrenia. Which nursing observation would require the most immediate intervention?
The client develops muscle rigidity, high fever, and confusion.
The client reports restlessness and an inability to sit still.
The client exhibits a flat affect and decreased verbal communication.
The client expresses concern about mild weight gain.
The Correct Answer is A
Choice A reason: This presentation is consistent with neuroleptic malignant syndrome (NMS), a rare but life-threatening reaction to antipsychotics characterized by severe muscle rigidity, hyperthermia, altered mental status, and autonomic dysfunction. Immediate discontinuation of the drug and emergency treatment are required.
Choice B reason: Restlessness and inability to sit still are signs of akathisia, an extrapyramidal side effect of antipsychotics. While distressing and requiring management, it is not life-threatening compared to NMS.
Choice C reason: A flat affect and reduced speech are negative symptoms of schizophrenia and may persist despite treatment. These are concerning for quality of life but do not require urgent medical intervention.
Choice D reason: Mild weight gain is a known side effect of many antipsychotics. It should be monitored and managed with lifestyle modifications but does not represent an immediate threat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Calorie restriction during pregnancy is not a recommended preventive measure and may actually harm fetal development by causing malnutrition.
Choice B reason: Maternal viral infections during pregnancy, such as influenza, have been associated with an increased risk of schizophrenia in offspring. Preventing infections through vaccination, hygiene, and avoiding exposure is a protective measure.
Choice C reason: Iron deficiency should be prevented, not encouraged, since adequate maternal nutrition supports healthy fetal brain development. Limiting iron intake would not reduce schizophrenia risk and could increase complications.
Choice D reason: While teenage pregnancy carries social and medical risks, it is not directly linked to increasing schizophrenia risk in offspring compared to maternal infections during pregnancy.
Correct Answer is A
Explanation
Choice A reason: The most critical teaching with MAOIs is to avoid foods containing tyramine. Eating these foods can trigger a hypertensive crisis, a potentially fatal complication.
Choice B reason: Cold medications with pseudoephedrine may also increase blood pressure and should be avoided, but dietary restrictions are more essential because food exposure is more common and life-threatening if overlooked.
Choice C reason: Taking the medication with food may reduce mild gastrointestinal side effects, but this is not the priority safety teaching.
Choice D reason: Avoiding hazardous activities until medication effects are known is general advice for many psychotropic drugs, but it is not specific or lifesaving for MAOI therapy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.