A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Diphenhydramine
Naloxone
Valbenazine
Fluoxetine
The Correct Answer is C
C. Tardive dyskinesia (TD) is a movement disorder characterized by involuntary, repetitive movements of the face, tongue, lips, and extremities, often as a side effect of long-term use of antipsychotic medications such as fluphenazine. Valbenazine is a medication approved for the treatment of tardive dyskinesia in adults
A. Diphenhydramine is an antihistamine medication with anticholinergic properties used in acute dystonia
B Naloxone is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on opioid receptors. It is not indicated for the treatment of tardive dyskinesia.
D. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Agranulocytosis is a serious side effect associated with clozapine, an antipsychotic medication. Agranulocytosis is characterized by a severe reduction in the number of white blood cells (specifically granulocytes) in the bloodstream, leading to an increased risk of infection. The client should be educated to monitor for signs and symptoms of agranulocytosis, including sore throat, fever, chills, and muscle aches, as these may indicate an underlying infection due to neutropenia.
A. Severe restlessness may be a side effect of some antipsychotic medications, but it is not specifically associated with agranulocytosis.
B. Respiratory depression and a comatose state are not typical manifestations of agranulocytosis.
D. Increased anxiety and suicidal ideations may be symptoms of certain mental health conditions or adverse effects of psychiatric medications, but they are not characteristic of agranulocytosis.
Correct Answer is A
Explanation
A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.
B. This option may not be appropriate without further assessment of the client's ability to care for their children.
C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.
D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.
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