A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?

"I will notify the physician."

"You may have become addicted to this drug."

"This is part of your schizophrenia disease process."

"This is normal while taking this drug and will soon go away."

Answer and Explanation

The Correct Answer is A

A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.

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Correct Answer is A

Explanation

A. Increased activity tolerance is a sign of improved red blood cell production and better management of iron-deficiency anemia.
B. Ferrous sulfate does not directly affect blood glucose levels.
C. Ferrous sulfate does not impact low density lipoprotein (LDL) levels.
D. Increased urinary output is not a therapeutic effect of ferrous sulfate.

A. Take medication at night and avoid grapefruit juice. B. Take medication on an empty stomach before breakfast. C. Avoid dietary intake of dark, leafy greens. D. Increase intake of potassium-rich foods and alcohol.

Correct Answer is A

Explanation

A. Lovastatin is most effective when taken at night because cholesterol synthesis primarily occurs during sleep. Grapefruit juice should be avoided as it can increase the drug's concentration, leading to potential toxicity.
B. Lovastatin should be taken with food, preferably in the evening, to enhance absorption and effectiveness.
C. Dark, leafy greens are not contraindicated with lovastatin; they do not interfere with the medication’s action.
D. Alcohol intake should be limited while on statins due to the increased risk of liver damage, and there is no need to increase potassium-rich foods specifically.

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A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been taking a medical prescription of ferrous sulfate [Feosol] for 30 days. During a follow-up assessment, the nurse will observe for which therapeutic response?

Correct Answer is A

Explanation

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

Correct Answer is A

Explanation

Which of the following medications is administered during an acute ST-elevation myocardial infarction and continued indefinitely after?

The nurse is administering folic acid to a client and correctly identifies the medication is used to treat which of the following conditions?

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A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

The nurse is teaching the client prescribed verapamil to avoid which of the following foods?