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

A. This medication is an osmotic diuretic that reduces intracranial pressure: Furosemide is a loop diuretic, not an osmotic diuretic.
B. This medication works on the distal tubule of the kidney: Furosemide works on the loop of Henle, not the distal tubule.
C. An adverse effect of this medication is hyperkalemia: Furosemide can cause hypokalemia, not hyperkalemia.
D. This medication is used for pulmonary edema caused by heart failure: Furosemide is commonly used to treat fluid retention and pulmonary edema caused by heart failure.

A. Used to treat motion sickness. B. Prevention of stress ulcers for at-risk clients experiencing acute events C. Used to only treat heartburn D. Used to only treat nausea and vomiting

Correct Answer is B

Explanation

A. Omeprazole is not used for motion sickness. It is a proton pump inhibitor used to treat gastric acid- related conditions.
B. Omeprazole is used to prevent and treat gastric ulcers, including stress ulcers that may occur in critically ill patients.
C. Omeprazole is used to treat conditions like GERD, ulcers, and Zollinger-Ellison syndrome, not just heartburn.
D. Omeprazole is not used to treat nausea and vomiting. It reduces gastric acid production to treat acid- related conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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