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
Severe nausea and vomiting can lead to respiratory acidosis due to the loss of gastric contents, which contain hydrochloric acid. When vomiting is prolonged or severe, the loss of acid can result in metabolic alkalosis.
A. Respiratory alkalosis occurs due to hyperventilation in conditions such as anxiety, salicylism
C. metabolic acidosis occurs in conditions where there is increased secretion of acid for example DKA
D. Respiratory acidosis occurs due to impaired ventilation such as chest trauma
Correct Answer is B
Explanation
Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.
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