Which medications might increase tremors in a client with Parkinson's disease?

Beta-blocker

Non-steroidal anti-inﬂammatory drugs (NSAIDs)

Traditional antipsychotic

Barbiturate

Answer and Explanation

The Correct Answer is C

Traditional antipsychotics can increase tremors in people with Parkinson's disease ¹. These medications can block dopamine receptors in the brain, which can worsen Parkinson's symptoms ¹.
Option A is not correct because beta-blockers are not known to increase tremors in Parkinson's disease.
Option B is not correct because non-steroidal anti-inﬂammatory drugs (NSAIDs) are not known to increase tremors in Parkinson's disease.
Option D is not correct because barbiturates are not known to increase tremors in Parkinson's disease.

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Correct Answer is D

Explanation

The client's symptoms of high fever, unstable blood pressure, increased confusion, and rigidity are consistent with neuroleptic malignant syndrome (NMS) ⁴. NMS is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication ⁴. In this case, the client was taking olanzapine and was recently prescribed chlorpromazine, both of which are antipsychotic medications that can cause NMS ⁴.
Option A is incorrect because accelerated dementia would not cause the sudden onset of these symptoms.
Option B is incorrect because an infection would not explain the sudden onset of these symptoms after starting a new medication.
Option C is incorrect because aspiration would not cause rigidity or unstable blood pressure.

A. If the client is still in severe pain 1 hour after the last dose, the nurse can administer an additional 1 mg of morphine. B. Morphine will be given enterally. C. Every two hours, the nurse will assess the need for morphine to determine if 1 mg IV should be given. D. Morphine will be given every 2 hours.

Correct Answer is C

Explanation

The order states that morphine 1 mg should be given intravenously (IV) every 2 hours as needed for pain. This means that the nurse should assess the client's pain level every 2 hours and determine if 1 mg of morphine IV is needed to manage the pain.
Option A is incorrect because the order specifies that morphine should be given every 2 hours as needed, not every hour.
Option B is incorrect because the order specifies that morphine should be given intravenously (IV), not enterally.
Option D is incorrect because the order specifies that morphine should be given as needed for pain, not automatically every 2 hours.

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Which medications might increase tremors in a client with Parkinson's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with dementia who was taking olanzapine was recently prescribed chlorpromazine for hiccups. The client is currently experiencing high fever, unstable blood pressure, increased confusion, and rigidity. What does the nurse suspect?

Correct Answer is D

Explanation

The following order has been written for your client: morphine 1 mg intravenously (IV) every 2 hours as needed for pain. Which of these is true regarding this order?

Correct Answer is C

Explanation

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