A nurse administered prochlorperazine (Compazine) IV to a client three hours ago. The nurse understands that a complication of this medication includes extrapyramidal symptoms (EPS). Which of the following signs indicate EPS?

Vomiting

Restlessness

Pulmonary edema

Nausea

Answer and Explanation

The Correct Answer is B

A.   Vomiting is not typically associated with extrapyramidal symptoms (EPS). However, prochlorperazine is used to prevent nausea and vomiting, so vomiting would not be related to EPS.
B.   Restlessness (also called akathisia) is a common symptom of EPS, which is a movement disorder that can occur as a side effect of antipsychotic medications like prochlorperazine. Other symptoms may include tremors, rigidity, and bradykinesia.
C.   Pulmonary edema is not a sign of EPS. It is a serious condition involving fluid accumulation in the lungs, typically related to heart failure or other serious health conditions.
D.   Nausea is not a sign of EPS. While prochlorperazine is used to treat nausea, EPS symptoms typically involve abnormal movements or muscle control issues.

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Correct Answer is D

Explanation

Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.

A. Metformin (Glucophage) B. Glucagon (GlucaGen) C. Glipizide (Glucotrol) D. Insulin

Correct Answer is B

Explanation

A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.

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A nurse administered prochlorperazine (Compazine) IV to a client three hours ago. The nurse understands that a complication of this medication includes extrapyramidal symptoms (EPS). Which of the following signs indicate EPS?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is B

Explanation

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