A client is receiving benztropine mesylate for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the nurse should further evaluate the client?

Decreased bowel movements.

Decreasing hand tremors.

Increased mouth movements.

Presence of a dry mouth.

Answer and Explanation

The Correct Answer is C

Choice A reason: Decreased bowel movements (constipation) are a common side effect of benztropine due to its anticholinergic properties, but they do not indicate worsening EPS or treatment failure. Increased mouth movements suggest persistent or worsening EPS, requiring further evaluation, making constipation less critical for immediate reassessment.

Choice B reason: Decreasing hand tremors indicate benztropine’s effectiveness in treating EPS, as it reduces parkinsonian symptoms like tremors. This is a desired outcome, not a cause for further evaluation. Increased mouth movements, suggesting tardive dyskinesia or EPS persistence, are more concerning, making this incorrect.

Choice C reason: Increased mouth movements, such as tardive dyskinesia or dystonia, suggest worsening or inadequately controlled EPS, potentially indicating benztropine’s ineffectiveness or a need for dose adjustment. This finding warrants further evaluation, aligning with psychopharmacology evidence for monitoring anticholinergic therapy, making it the correct choice.

Choice D reason: Dry mouth is a common anticholinergic side effect of benztropine, not an indicator of EPS worsening. It is expected and manageable, unlike increased mouth movements, which signal potential EPS complications. This finding does not require immediate evaluation, making it incorrect for further nursing assessment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Hydromorphone, an opioid, is used for pain, not delirium tremens (DTs), which requires benzodiazepines to manage withdrawal symptoms like tremors and seizures. Opioids may worsen respiratory depression in alcohol withdrawal, making this incorrect for treating DTs in this client with high alcohol levels.

Choice B reason: Lorazepam, a benzodiazepine, is the standard treatment for delirium tremens, as it reduces agitation, seizures, and autonomic instability in alcohol withdrawal. Its PRN use is appropriate for managing DTs symptoms, aligning with addiction medicine guidelines, making it the correct choice for this client.

Choice C reason: Prochlorperazine, an antiemetic, treats nausea but not DTs, which involves severe neurological and autonomic symptoms. Benzodiazepines like lorazepam are needed to prevent seizures and calm withdrawal. This medication is inappropriate, making it incorrect for managing alcohol withdrawal complications.

Choice D reason: Chlorpromazine, an antipsychotic, may lower seizure threshold, worsening DTs. Benzodiazepines like lorazepam are first-line for alcohol withdrawal to manage symptoms safely. Chlorpromazine is not indicated, making this incorrect for treating delirium tremens in a client with alcohol-related withdrawal.

A. The effects of amitriptyline can promote and potentiate the risk of lithium toxicity. B. The combination of lithium and amitriptyline may need to be changed if creatinine is high. C. Creatinine can measure how the body is metabolizing the lithium in the liver. D. Lithium is excreted by the kidneys and creatinine is related to kidney functioning.

Correct Answer is D

Explanation

Choice A reason: Amitriptyline does not significantly potentiate lithium toxicity; lithium’s renal excretion is the primary concern. Creatinine assesses kidney function, critical for lithium clearance, not amitriptyline interactions. This choice is incorrect, as it misrepresents the reason for obtaining a creatinine level.

Choice B reason: Changing medications may occur with high creatinine, but the primary reason for the test is to assess kidney function for lithium excretion. Creatinine directly evaluates renal clearance, making this less precise and incorrect compared to linking creatinine to lithium’s renal elimination.

Choice C reason: Creatinine measures kidney function, not liver metabolism. Lithium is excreted unchanged by the kidneys, not metabolized by the liver. This choice is incorrect, as it misattributes creatinine’s role to liver function rather than renal clearance, which is critical for lithium safety.

Choice D reason: Lithium is excreted by the kidneys, and serum creatinine assesses renal function, which impacts lithium clearance. Impaired kidney function increases toxicity risk, making creatinine essential for safe prescribing, aligning with psychopharmacology monitoring guidelines, making this the correct reason for the test.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is receiving benztropine mesylate for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the nurse should further evaluate the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is D

Explanation

A client is receiving benztropine mesylate for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the nurse should further evaluate the client?

The nurse plans to use role playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

Naloxone is administered to an adult client following a suicide attempt with an overdose of hydrocodone bitartrate. Within 15 minutes, the client is alert and oriented. While planning nursing care, which intervention has the highest priority at this time?

During a one-to-one session, the nurse begins to become angry with the client. Which action should the nurse take?

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool?

On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse, "I am the son of God." Based on this statement, which intervention should the nurse include in this client's plan of care?