A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?
An adult client who has type 2 diabetes mellitus and is taking insulin.
A client who is in the third trimester of pregnancy and taking iron supplements.
A client who has schizophrenia and is taking antipsychotic medication.
An older adult client who has pancreatitis and is taking enzymes.
The Correct Answer is C
Choice A reason: Insulin use is not associated with extrapyramidal symptoms.
Choice B reason: Iron supplements do not cause extrapyramidal side effects.
Choice C reason: Antipsychotic medications, especially first-generation antipsychotics, commonly cause extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia.
Choice D reason: Pancreatic enzyme therapy is unrelated to extrapyramidal side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The Hamilton Depression Scale is used to assess severity of depression, not antipsychotic side effects.
Choice B reason: The Body Attitude Test is used in eating disorder assessments, unrelated to risperidone therapy.
Choice C reason: The Abnormal Involuntary Movement Scale (AIMS) evaluates for movement disorders like tardive dyskinesia, which are possible side effects of antipsychotics. Baseline assessment is essential before starting treatment.
Choice D reason: The Recovery Attitude and Treatment Evaluator measures patient attitudes about recovery and treatment, not medication side effects.
Correct Answer is B
Explanation
Choice A reason: Risperidone more commonly causes orthostatic hypotension rather than hypertension, so this is misleading information.
Choice B reason: Constipation is a frequent adverse effect due to anticholinergic action. Increasing fluid and fiber is an appropriate teaching strategy to manage this side effect.
Choice C reason: Weekly blood tests are not required for risperidone; such monitoring is typically associated with clozapine due to the risk of agranulocytosis.
Choice D reason: Risperidone is more likely to cause weight gain and metabolic syndrome, not weight loss, making this response inaccurate.
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