A client currently taking a first-generation antipsychotic (FGA) comes to the clinic for evaluation. The client presents with a shuffling gait and mild tremors. Which order would the nurse expect the provider to give?
Order a direct dopamine antagonist.
Increase the dose of the antipsychotic medication.
Withhold the medication for two days.
Order an anticholinergic medication.
The Correct Answer is D
Anticholinergic medications can be used to treat extrapyramidal symptoms (EPS) such as tremors and shuffling gait that can occur as side effects of first-generation antipsychotics ¹².
Option A is not correct because a direct dopamine antagonist would not be used to treat EPS.
Option B is not correct because increasing the dose of the antipsychotic medication could worsen EPS.
Option C is not correct because withholding the medication for two days could lead to a relapse of the underlying condition being treated by the antipsychotic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Diazepam is a benzodiazepine medication used to treat anxiety disorders. It works by enhancing the activity of certain neurotransmitters in the brain. A therapeutic outcome for this medication would be a decrease in anxiety and an improved ability to cope with stress.
Option B is not correct because it does not indicate whether the medication is effective or not.
Option C is not correct because it indicates that the client does not see a change in their symptoms.
Option D is not correct because it indicates that the client is self-medicating and increasing their dose without consulting their healthcare provider.
Correct Answer is C
Explanation
A half-life is the time it takes for the concentration of a drug in the body to decrease by half. In this case, the medication has an 8-hour half-life, so after 8 hours, the concentration of the medication in the client's body would be reduced to 400mg (half of the initial dose of 800mg). After another 8 hours (16 hours total), the concentration would be reduced to 200mg. After another 8 hours (24 hours total), the concentration would be reduced to 100mg.
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