A client exhibits muscular tremors, drooling, gait changes, and spasms. When reviewing the client's medication history, which would the nurse most likely find?

antipsychotic agent

antidiabetic agent

general anesthetic

anticholinergic agent

Answer and Explanation

The Correct Answer is A

A. An antipsychotic agent, particularly first-generation antipsychotics, can cause extrapyramidal symptoms such as tremors, drooling, gait changes, and spasms due to their dopamine-blocking effects in the brain.

B. An antidiabetic agent does not typically cause these neurological symptoms; its primary effects are related to glucose metabolism.

C. A general anesthetic is used to induce unconsciousness and does not generally result in muscular tremors or drooling.

D. An anticholinergic agent can cause side effects like dry mouth and constipation but does not typically lead to the muscular symptoms described; in fact, it may reduce drooling.

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Correct Answer is D

Explanation

A. Sodium levels are important to monitor, but they are not the primary concern with furosemide treatment.

B. Bone marrow function is not a direct concern related to furosemide therapy.

C. Calcium levels are less critical compared to potassium when monitoring a client on furosemide.

D. Potassium levels are correct because furosemide is a loop diuretic that can lead to significant potassium loss, putting the client at risk for hypokalemia, which can have serious cardiac implications.

A. History of hypertension B. Presence of a dry cough C. Recent use of antibiotics D. History of seizures

Correct Answer is A

Explanation

A. Pseudoephedrine is a decongestant that can raise blood pressure and cause increased heart rate, so it is essential to assess the patient’s history of hypertension before starting this medication.

B. While a dry cough may be relevant for other medications, it is not a primary concern when assessing for the use of pseudoephedrine.

C. Recent use of antibiotics is not directly related to the safety of using pseudoephedrine and is not a typical concern.

D. A history of seizures is not a specific contraindication for using pseudoephedrine, although it may warrant caution in some cases.

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A client exhibits muscular tremors, drooling, gait changes, and spasms. When reviewing the client's medication history, which would the nurse most likely find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

Correct Answer is D

Explanation

A patient taking fexofenadine (second-generation antihistamine) also wants to start using pseudoephedrine for nasal congestion. What should the nurse assess for prior to starting pseudoephedrine?

Correct Answer is A

Explanation

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