A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

Elevated blood pressure

Increased triglyceride level

Decreased blood glucose level

Weight loss

Answer and Explanation

The Correct Answer is B

A.   While risperidone can cause orthostatic hypotension, which may result in decreased blood pressure, it is not typically associated with elevated blood pressure.
B.   Risperidone has been associated with metabolic side effects such as weight gain, dyslipidemia, and increased triglyceride levels, which can contribute to cardiovascular risk.
C.   Risperidone is not typically associated with hypoglycemia; instead, it may lead to hyperglycemia or exacerbate existing diabetes.
D.   Weight gain is a more common adverse effect of risperidone rather than weight loss.

Monitoring for weight gain is essential due to its association with metabolic syndrome and cardiovascular risk factors.

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Correct Answer is C

Explanation

A. Phenytoin can rarely cause a side effect known as "purple glove syndrome" if it infiltrates into the surrounding tissues during intravenous administration, leading to discoloration. However, this is not relevant to oral suspension administration.
B. Taking an antacid with phenytoin is generally not recommended as it may decrease the absorption of phenytoin. Phenytoin should be taken on an empty stomach to ensure optimal absorption.

C. Phenytoin oral suspension may settle over time, so it's important to shake the bottle well before measuring and administering each dose to ensure uniform distribution of the medication.
D. While obtaining an annual flu vaccine is generally advisable for individuals with epilepsy, it's not directly related to phenytoin administration and should be part of routine healthcare maintenance rather than specific guidance for phenytoin therapy.

A. Furosemide B. Gentamicin C. Alprazolam D. Warfarin

Correct Answer is A

Explanation

A. Furosemide, a loop diuretic, can increase lithium levels by reducing renal clearance of lithium, leading to lithium toxicity. Monitoring lithium levels and adjusting the dose as necessary is essential when co-administered with furosemide.
B. Gentamicin, an aminoglycoside antibiotic, is not known to interact significantly with lithium.
C. Alprazolam, a benzodiazepine, is not known to interact significantly with lithium.

D. Warfarin, an anticoagulant, is not known to interact significantly with lithium.

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A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?

Correct Answer is A

Explanation

A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

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