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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.
Choice B rationale:
Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.
Choice C rationale:
This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.
Choice D rationale:
Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.
So, the correct answer is C, after analyzing all choices.
Correct Answer is ["3"]
Explanation
Step 1: Identify Given Information
- Prescribed dose: 7.5 mg
- Available tablet strength: 2.5 mg per tablet
Step 2: Calculate the Number of Tablets
To determine how many tablets to administer, divide the prescribed dose by the strength of each tablet:
7.5 mg ÷ 2.5 mg/tablet = 3 tablets
The nurse should administer 3 tablets of olanzapine.
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