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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:Secondary interventions focus on early detection and intervention for individuals at risk to prevent progression of a problem. Identifying those at higher risk for suicide allows for targeted interventions, such as counseling or monitoring, to prevent attempts, making this a secondary intervention.
Choice B reason:Performing life-saving measures is a tertiary intervention, aimed at reducing harm after a suicide attempt has occurred. It focuses on recovery rather than prevention, so it is not a secondary intervention.
Choice C reason:Supporting family and friends after a suicide is a tertiary intervention, addressing the aftermath of the event to aid recovery and coping. It does not prevent the initial act, so it is not a secondary intervention.
Choice D reason:Recognizing warning signs is a primary intervention, aimed at prevention through awareness and education before risk escalates. It precedes identifying specific at-risk individuals, so it is not a secondary intervention.
Correct Answer is D
Explanation
Choice A reason: Naltrexone reduces cravings for alcohol but is used after detoxification, not during acute withdrawal.
Choice B reason: Acamprosate helps maintain abstinence but is started after detox, not during acute withdrawal.
Choice C reason: Disulfiram deters alcohol use by causing unpleasant reactions when alcohol is consumed, but it is not used for withdrawal management.
Choice D reason: Diazepam, a benzodiazepine, is the medication of choice during acute alcohol withdrawal because it prevents seizures, reduces agitation, and manages withdrawal symptoms.
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