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A nurse is reviewing the medication administration records of a group of clients who have been newly admitted to a long-term care facility.
Which of the following clients should the nurse monitor for extrapyramidal symptoms?.

A client who has schizophrenia and is taking an antipsychotic medication.

A client who has type 2 diabetes mellitus and is taking insulin.

A client who has chronic pancreatitis and is taking pancreatic enzymes.

A client who has hypertension and is taking a beta-adrenergic blocker.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Antipsychotic medications can cause extrapyramidal symptoms, which include involuntary muscle contractions and tremors.

Choice B rationale:

Insulin, used to treat type 2 diabetes mellitus, does not typically cause extrapyramidal symptoms.

Choice C rationale:

Pancreatic enzymes, used to treat chronic pancreatitis, are not associated with extrapyramidal symptoms.

Choice D rationale:

Beta-adrenergic blockers, used to treat hypertension, do not typically cause extrapyramidal symptoms.

So, the correct answer is A, A client who has schizophrenia and is taking an antipsychotic medication.

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Correct Answer is C

Explanation

The correct answer is: C. Avocados.

Choice A reason: Milk, especially when fresh and not aged, is generally low in tyramine. The tyramine content in milk does not significantly increase unless the milk is fermented or nearing expiration. Therefore, 2 % milk is considered a safe option for individuals taking MAOIs.

Choice B reason: Fresh fruits like apples are typically low in tyramine. However, as fruits ripen or become overripe, their tyramine content can increase. Since the question specifies “sliced apples,” which are likely to be fresh, they would not have a high tyramine content and are considered safe for someone on MAOIs.

Choice C reason: Avocados, particularly if they are overripe, contain higher levels of tyramine compared to other foods listed. Overripe avocados can have a tyramine content that is high enough to be of concern for individuals taking MAOIs, making them the food choice with the highest tyramine content among the options provided.

Choice D reason: Celery is a low-tyramine food and is safe for consumption by individuals on MAOI therapy. There is no significant increase in tyramine content in celery, even as it ages, making it a suitable option for those with dietary restrictions related to MAOIs.

A. "I should take this medication when my spasms are bad.”. B. "I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”. C. "I am glad this medication is safe to take if I get pregnant.”. D. "I should return to the clinic to have my calcium level checked every 6 weeks.”.

Correct Answer is A

Explanation

Choice A rationale:

Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.

Choice B rationale:

While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.

Choice C rationale:

The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.

Choice D rationale:

There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.

So, the correct answer is A.

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A nurse is reviewing the medication administration records of a group of clients who have been newly admitted to a long-term care facility.Which of the following clients should the nurse monitor for extrapyramidal symptoms?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?.

Correct Answer is C

Explanation

A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is A

Explanation

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A nurse is reviewing the medication administration records of a group of clients who have been newly admitted to a long-term care facility.
Which of the following clients should the nurse monitor for extrapyramidal symptoms?.