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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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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