A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

A decrease in resting blood pressure

Decreased auditory hallucinations

Control of seizure activity

Increased energy level and involvement in activities

Answer and Explanation

The Correct Answer is B

Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.

A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.

C. Olanzapine has no anticonvulsant effect.

D. Olanzapine causes fatigue and sedation as some of the side effects

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Correct Answer is D

Explanation

Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property

A. Call the prescribing physician and inform her of the client's serum potassium level results. B. Omit the KCL dose and document it was not given. C. Call the lab to verify the client's results. D. Give the ordered KCL as prescribed.

Correct Answer is A

Explanation

potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Giving potassium chloride (KCL) to a client with hyperkalemia can exacerbate the condition and lead to life- threatening cardiac arrhythmias. It is crucial to notify the physician promptly so that appropriate action can be taken, such as adjusting the dosage of potassium supplementation or discontinuing it altogether.
B. Omitting the KCL dose without consulting the physician is not appropriate as further instructions are needed.
C. Calling the lab to verify the client's results is unnecessary since the nurse already has the laboratory results. The focus should be on informing ensuring client safety.
D. Giving the ordered KCL as prescribed is not appropriate as administering potassium in the presence of hyperkalemia can be dangerous and should be avoided until further guidance is obtained from the physician.

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A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client Who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports Which of the following manifestations?

Correct Answer is D

Explanation

A nurse is caring for a client Who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/I— Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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