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 D
Explanation
Choice A reason: This statement reflects derealization, which is the experience that the external environment feels unreal or changed, not depersonalization.
Choice B reason: This describes auditory hallucinations, a common symptom of schizophrenia, but not depersonalization.
Choice C reason: This indicates persecutory delusions, not depersonalization.
Choice D reason: This confirms depersonalization, which involves altered perception of one’s own body or sense of self, such as believing body parts are distorted in size or shape.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason:Tremors, particularly in the hands, are a common symptom of alcohol withdrawal, often appearing within hours of the last drink. They are caused by the nervous system’s hyperexcitability due to the absence of alcohol’s depressant effects, making this a key manifestation to include in teaching.
Choice B reason:Polyphagia, or excessive hunger, is not a typical symptom of alcohol withdrawal. Withdrawal is more commonly associated with loss of appetite or nausea due to gastrointestinal distress and nervous system dysregulation, so this should not be included in the teaching.
Choice C reason:Nystagmus, an involuntary eye movement, can occur in alcohol withdrawal, particularly in severe cases or during delirium tremens. It is a neurological symptom resulting from the brain’s response to withdrawal, making it appropriate to include in the teaching.
Choice D reason:Seizures are a serious and potentially life-threatening complication of alcohol withdrawal, often occurring within 12 to 48 hours after the last drink. Educating the client about this risk is critical, as it underscores the need for medical supervision during withdrawal.
Choice E reason:Illusions, or misinterpretations of sensory stimuli, are common in alcohol withdrawal, especially during severe stages like delirium tremens. These perceptual disturbances should be included in the teaching to prepare the client for possible symptoms.
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