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 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.
Correct Answer is B
Explanation
A. Passport or advanced driver’s license: These are not standard patient identifiers in healthcare settings.
B. Name and Date of Birth in add on the MRN can be used as the 3rd identifier: The Joint Commission’s National Patient Safety Goals require at least two identifiers (Name and Date of Birth). The Medical Record Number (MRN) can serve as a third identifier for additional accuracy.
C. Room number and roommates’ crosscheck: Room numbers are not reliable because patients may be moved to different rooms.
D. Credit Card and insurance: Financial information does not verify the identity of the patient receiving care.
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