A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?
A decrease in resting blood pressure
Decreased auditory hallucinations
Control of seizure activity
Increased energy level and involvement in activities
The Correct Answer is B
Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.
A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.
C. Olanzapine has no anticonvulsant effect.
D. Olanzapine causes fatigue and sedation as some of the side effects
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Prolonged oral corticosteroid use reduces the body’s secretion of endogenous steroids- cortisol as the body relies on the oral steroids. If abruptly stopped the body experiences severe adrenocortical insufficiency with symptoms such as fatigue, weakness, weight loss, nausea, vomiting, and low blood pressure. Tapering the dose allows the body to readjust and produce cortisol.
A, C, D- Are not effects of abrupt discontinuation of steroids
Correct Answer is A
Explanation
Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.
B. Omeprazole is not used for management of headaches
C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache
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