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 B

Explanation

A. Excessive thirst is not a common adverse effect associated with albuterol.

B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.

C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.

D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.

A. Increase fluid intake B. Continue the medication; these are expected side effects C. Discontinue the medication and consult a healthcare provider D. Switch to a different type of laxative

Correct Answer is B

Explanation

A. Increasing fluid intake may not alleviate the cramping and diarrhea, which are common side effects of magnesium citrate.

B. Abdominal cramping and diarrhea are expected side effects of magnesium citrate, and the patient can continue the medication unless symptoms become severe.

C. Discontinuing the medication should not be recommended unless the side effects are intolerable or the patient experiences severe reactions.

D. Switching to a different type of laxative is unnecessary unless the patient has contraindications to magnesium citrate or develops severe side effects.

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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 38-year-old client who has been diagnosed with asthma and is prescribed albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?

Correct Answer is B

Explanation

A patient taking magnesium citrate as an osmotic laxative reports abdominal cramping and diarrhea. What should the nurse recommend?

Correct Answer is B

Explanation

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