A 74-year-old client is diagnosed with COVID and is admitted to an inpatient hospital. Days later, he is more energetic than before his diagnosis. He exhibits flights of ideas, delusions of grandeur, and is ready to leave the hospital because he feels "so incredible." Which of the medications used in the treatment of COVID could have induced mania in this client?
Remdesivir
Albuterol
Famotidine
Dexamethasone
The Correct Answer is D
Choice A reason: Remdesivir is an antiviral and is not commonly associated with mood disturbances such as mania.
Choice B reason: Albuterol can cause mild nervousness or tremor but rarely induces full manic episodes.
Choice C reason: Famotidine is an H2 receptor antagonist and is not associated with mania.
Choice D reason: Dexamethasone is a corticosteroid that can induce psychiatric side effects including mania, agitation, and psychosis, particularly in older adults or those with underlying vulnerabilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The triglyceride triad refers to elevated triglycerides, small dense LDL, and low HDL, which is part of metabolic syndrome but not the overall term.
Choice B reason: Metabolic syndrome is the correct term encompassing obesity, insulin resistance, dyslipidemia, and hypertension, which collectively increase the risk of cardiovascular disease, diabetes, and stroke.
Choice C reason: Cardiovascular cluster is not a standardized medical term.
Choice D reason: Endocrine failure refers to organ-specific hormonal insufficiency and is unrelated to metabolic syndrome.
Correct Answer is D
Explanation
Choice A reason: L-methyl folate does not significantly affect coagulation or interact with warfarin and can usually be continued safely.
Choice B reason: Vitamin D3 has no major interaction with warfarin and does not influence clotting, so it is generally safe to continue.
Choice C reason: Melatonin may have minimal effects on blood pressure or sedation but does not interfere with warfarin metabolism.
Choice D reason: Vitamin E has anticoagulant properties and can increase the risk of bleeding when combined with warfarin. Discontinuation is recommended to reduce hemorrhagic risk.
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