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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue
Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic
D-A blood pressure of 106/68 is normal and requires no intervention
Correct Answer is D
Explanation
Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness
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