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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Cefoxitin is a cephalosporin with potential cross reactivity with penicillins (amoxicillin)and hence must be avoided in known history of penicillin allergy
B. A recent history of diarrhea for 3 days is not a contraindication for the administration of cefoxitin.
C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride is not directly related to the administration of cefoxitin.
D. A serum creatinine level of 0.8 mg/dL is within the normal range
Correct Answer is C
Explanation
Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.
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