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

Answer and Explanation

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

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Correct Answer is D

Explanation

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

A. Anabolic steroids B. Opioids C. Stimulants D. Hallucinogens

Correct Answer is D

Explanation

D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.

A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.

B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.

C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 D

Explanation

Correct Answer is D

Explanation

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