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A nurse is reviewing a client's health record and notes that the client experienced permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication
affected which of the following systems in the client?
•
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - answer>>>Central nervous. C. CORRECT: Realize that extrapyramidal effects are
movement disorders that can be caused by a number of central nervous system medications
(traditional/FGA antipsychotic medications).
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The
client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions
should the nurse take?
•
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time. - answer>>>B. Withhold the medication and notify
the provider of the client's previous reaction to penicillin so that an alternative antibiotic can be
prescribed. Allergic reactions to penicillin can range from mild to severe anaphylaxis, and prior
sensitization should be reported to the provider.
A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease.
Which of the following instructions should the nurse include?
A. Increase intake of protein‑rich foods.
B. Expect muscle twitching to occur.
C. Take this medication with food.
, D. Anticipate relief of manifestations in 24 hr. - answer>>>C. The client should take this medication with
food to reduce GI effects.
A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is
oversedated. Which of the following medications should the nurse expect to administer to this client?
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine - answer>>>C. CORRECT: Flumazenil is a competitive benzodiazepine antagonist used to
reverse the sedation and other effects of benzodiazepines.
A nurse is teaching a client who has obsessive‑compulsive disorder and has a new prescription for
fluoxetine. Which of the following instructions should the nurse include?
A. "It can take several weeks before you feel like the medication is helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive urges."
D. "Monitor for weight gain while taking this medication." - answer>>>A. CORRECT: Fluoxetine can take 1
to 4 weeks before the client reaches full therapeutic benefit.
A nurse is caring for a client who has a new prescription for phenelzine, an MAOI, for the treatment of
depression. Which of the following indicates that the client has developed an adverse effect of this
medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - answer>>>A. CORRECT: Orthostatic hypotension is an adverse of effect of MAOIs,
including phenelzine
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of
depression. Which of the following should the nurse include in the teaching? (Select all that apply.)