Schizophrenia Meds - Practice Questions || Error-free Answers
100%.
The nurse documents that a client diagnosed with schizophrenia is experiencing anticholinergic
side effects from long-term use of thioridazine. Which symptoms should the nurse note?
a. Akinesia, dystonia, and pseudoparkinsonism
b. Muscle rigidity, hyperpyrexia, and tachycardia
c. Hyperglycemia and diabetes
d. dry mouth, constipation, urinary retention correct answers D. dry mouth, constipation, and
urinary retention are signs of anticholinergic side effects.
Thorazine has a high incidence of anticholinergic side effects.
A client has a history of schizophrenia, controlled by haloperidol. During an assessment, the
nurse notes continuous restlessness. Which medication would the nurse expect the physician to
prescribe?
a. Haloperidol (haldol)
b. Fluphenazine decanoate (Prolixin decanoate)
c. Clozapine (clozaril)
d. Benztropine mesylate (cogentin) correct answers D. Benztropine mesylate (Cogentin)
is an anticholinergic medication used for the treatment of EPS.
A client diagnosed with schizophrenia takes clozapine (clozaril) 200 mg QD. Lab results reveal
RBC 4.7 million/mcL, ANC 800/mcL, and TSH 1.3 mIU/L. Which of the following should the
nurse expect the physician to order?
, a. Levothyroxine sodium (Synthroid) 150 mcg QD
b. Ferrous sulfate (Feosol) 100 mg TID
c. discontinue clozapine
d. discontinue clozapine, order Synthroid 150 mcg QD correct answers C. discontinue clozapine.
A normal adult level of absolute neutrophil count (ANC) is >1500/mcL.
The nurse is discussing the side effects experienced by a female client taking antipsychotic
medications. The client states "I haven't had a period in 4 months." What teaching should the
nurse include in the plan of care?
a. antipsychotic medications can cause a decrease in libido
b. antipsychotic medications can interfere with the effects of birth control
c. antipsychotic medications can cause amenorrhea, but ovulation still occurs
d. antipsychotic medications can decrease RBC, leading to amenorrhea. correct answers C.
antipsychotic medications can cause amenorrhea but ovulation still occurs.
If the client does not understand this, there is potential for pregnancy.
For the past year, a client has receive haloperidol (Haldol). The nurse administering the client's
next dose notes a twitch on the right side of the client's face and tongue movements. Which
nursing intervention takes priority?
a. give haloperidol and benztropine (Cogentin) 1 mg IM prn per order.
b. assess for other signs of hyperglycemia resulting from the use of haloperidol
c. check the client's temperature and assess mental status
d. hold haloperidol and call physician correct answers D. Hold the Haldol and call the physician.
100%.
The nurse documents that a client diagnosed with schizophrenia is experiencing anticholinergic
side effects from long-term use of thioridazine. Which symptoms should the nurse note?
a. Akinesia, dystonia, and pseudoparkinsonism
b. Muscle rigidity, hyperpyrexia, and tachycardia
c. Hyperglycemia and diabetes
d. dry mouth, constipation, urinary retention correct answers D. dry mouth, constipation, and
urinary retention are signs of anticholinergic side effects.
Thorazine has a high incidence of anticholinergic side effects.
A client has a history of schizophrenia, controlled by haloperidol. During an assessment, the
nurse notes continuous restlessness. Which medication would the nurse expect the physician to
prescribe?
a. Haloperidol (haldol)
b. Fluphenazine decanoate (Prolixin decanoate)
c. Clozapine (clozaril)
d. Benztropine mesylate (cogentin) correct answers D. Benztropine mesylate (Cogentin)
is an anticholinergic medication used for the treatment of EPS.
A client diagnosed with schizophrenia takes clozapine (clozaril) 200 mg QD. Lab results reveal
RBC 4.7 million/mcL, ANC 800/mcL, and TSH 1.3 mIU/L. Which of the following should the
nurse expect the physician to order?
, a. Levothyroxine sodium (Synthroid) 150 mcg QD
b. Ferrous sulfate (Feosol) 100 mg TID
c. discontinue clozapine
d. discontinue clozapine, order Synthroid 150 mcg QD correct answers C. discontinue clozapine.
A normal adult level of absolute neutrophil count (ANC) is >1500/mcL.
The nurse is discussing the side effects experienced by a female client taking antipsychotic
medications. The client states "I haven't had a period in 4 months." What teaching should the
nurse include in the plan of care?
a. antipsychotic medications can cause a decrease in libido
b. antipsychotic medications can interfere with the effects of birth control
c. antipsychotic medications can cause amenorrhea, but ovulation still occurs
d. antipsychotic medications can decrease RBC, leading to amenorrhea. correct answers C.
antipsychotic medications can cause amenorrhea but ovulation still occurs.
If the client does not understand this, there is potential for pregnancy.
For the past year, a client has receive haloperidol (Haldol). The nurse administering the client's
next dose notes a twitch on the right side of the client's face and tongue movements. Which
nursing intervention takes priority?
a. give haloperidol and benztropine (Cogentin) 1 mg IM prn per order.
b. assess for other signs of hyperglycemia resulting from the use of haloperidol
c. check the client's temperature and assess mental status
d. hold haloperidol and call physician correct answers D. Hold the Haldol and call the physician.
