Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.

Choice B rationale:

1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.

Choice C rationale:

1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.

Choice D rationale:

1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.

Correct Answer is ["3"]

Explanation

Step 1 is to determine the total amount of medication needed, which is 750 mg. Step 2 is to convert the medication needed into mL using the medication’s concentration. So, 750 mg ÷ (250 mg/5 mL) = 15 mL.

So, the correct answer is 15 mL.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

Correct Answer is B

Explanation

A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies.

Correct Answer is ["3"]

Explanation

A nurse is preparing to administer haloperidol lactate 7 mg PO to a client who has psychosis. Available is haloperidol lactate 2 mg/mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.

A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing discharge instructions with a client who has multiple sclerosis (MS). Which of the following instructions should the nurse include?.

A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets. Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.)

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium.Which of the following medications should the nurse administer?.

A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?.

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?.

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?.