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. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.

A. "I'll need to report weight loss or gain to my provider while taking this medication." B. "I can stop taking this medication if I'm feeling better after the first month." C. “I should avoid eating cheese while taking this medication." D. "I'll take my second dose of this medicine at bedtime."

Correct Answer is A

Explanation

A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.

Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.

B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.

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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 caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?

Correct Answer is C

Explanation

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

Correct Answer is A

Explanation

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