A nurse is caring for a client who started haloperidol five days ago and is experiencing neuroleptic malignant syndrome. Which of the following prescriptions should the nurse anticipate administering?
Benztropine
Naloxone
Bromocriptine
Diphenhydramine
The Correct Answer is C
Neuroleptic Malignant Syndrome (NMS) is a serious condition often associated with the administration of antipsychotic medications. Bromocriptine is a dopamine agonist used to D2 receptor blockade implicated in NMS. It improves the transmission of impulses in the dopaminergic neurons.
A-Benztropine is used in management of extrapyramidal effects of antipsychotics B-Naloxone is an opioid antagonist
D-Diphenhydramine is an antihistamine used in mild allergic reactions
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
Correct Answer is A
Explanation
PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy
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