Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy.

You understand that the following medications are used to reverse EPS.

(Select All that Apply.).

Benadryl (Diphenhydramine).

Artane (Trihexyphenidyl).

Flumazenil.

Cogentin (Benztropine).

Acetylcysteine.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:
Benadryl (Diphenhydramine) is an antihistamine that can be used to treat extrapyramidal symptoms (EPS)5.
Choice B rationale:
Artane (Trihexyphenidyl) is an anticholinergic medication used to treat EPS5.
Choice C rationale:
Flumazenil is not typically used to treat EPS5.
Choice D rationale:
Cogentin (Benztropine) is an anticholinergic medication used to treat EPS5.
Choice E rationale:
Acetylcysteine is not typically used to treat EPS5.

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Correct Answer is A

Explanation

Choice A rationale:

Adherence to medication, especially after the resolution of acute psychosis, is crucial when taking an antipsychotic like clozapine. This is because discontinuation can lead to a relapse of symptoms.

Choice B rationale:

There’s no specific need to limit fluid intake when taking an antipsychotic.

Choice C rationale:

While routine blood cell count laboratory work is important, it’s not specific to red blood cells but rather to monitor for agranulocytosis, a potential side effect of clozapine.

Choice D rationale:

Avoiding foods that contain tyramine is typically associated with monoamine oxidase inhibitors, not antipsychotics like clozapine.

A. "Do you really think it is ok not to bathe? What is going on with you?". B. "It is now time for you to bathe. Do you want to wear the red or green shirt?". C. "This is it! You are getting a bath! There are three of us here to bathe you!". D. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.”.

Correct Answer is B

Explanation

Choice A rationale:

This statement is confrontational and may make the client defensive.

Choice B rationale:

This statement provides the client with a choice, promoting autonomy and encouraging self-care.

Choice C rationale:

This statement is forceful and does not respect the client’s autonomy.

Choice D rationale:

Ignoring the client’s lack of self-care does not address the issue and could potentially harm the client.

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Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy. You understand that the following medications are used to reverse EPS. (Select All that Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?.

Correct Answer is A

Explanation

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer is B

Explanation

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy. You understand that the following medications are used to reverse EPS. (Select All that Apply.).

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Your patient is experiencing extrapyramidal symptoms (EPS) from antipsychotic therapy.

You understand that the following medications are used to reverse EPS.

(Select All that Apply.).