A client reports a dry mouth, blurry vision and a feeling of not being able to fully empty their bladder. The nurse suspects the client is having which type of adverse reaction?
Neuroleptic malignant syndrome
Teratogenicity
Parkinson-like syndrome
Anticholinergic effects
The Correct Answer is D
A. Neuroleptic malignant syndrome: Causes fever, muscle rigidity, autonomic instability, and altered mental status-not dry mouth or blurry vision.
B. Teratogenicity: Refers to birth defects from medications taken during pregnancy.
C. Parkinson-like syndrome: Involves tremors, muscle rigidity, and bradykinesia-not dry mouth or blurry vision.
D. Anticholinergic effects: Symptoms of dry mouth, blurred vision, and urinary retention are classic signs of anticholinergic side effects caused by medications like antihistamines, tricyclic antidepressants, and some antipsychotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notify the nurse manager: Reporting is important, but assessing the patient comes first.
B. Observe the client and collect data: Patient safety is the priority. The nurse must assess the client for adverse effects first before notifying anyone.
C. Call the client’s provider: The provider needs to be informed, but only after assessing the client’s condition.
D. Complete an incident report: Documentation is essential but comes after assessing and ensuring client safety.
Correct Answer is A
Explanation
A. "This test will inform your provider how your kidneys are functioning." Creatinine is a waste product from muscle metabolism and is excreted by the kidneys. Elevated creatinine levels indicate impaired kidney function.
B. "This test will inform your provider if you have a thyroid disorder." Thyroid disorders are typically diagnosed with TSH, T3, and T4 tests, not creatinine.
C. "This test will inform your provider if you have an infection." Infections are usually diagnosed with CBC (WBC count) or cultures, not creatinine.
D. "This test will inform your provider if you are anemic." Anemia is diagnosed with hemoglobin and hematocrit (H&H), not creatinine levels.
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