A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
Diphenhydramine
Naloxone
Valbenazine
Fluoxetine
The Correct Answer is C
C. Tardive dyskinesia (TD) is a movement disorder characterized by involuntary, repetitive movements of the face, tongue, lips, and extremities, often as a side effect of long-term use of antipsychotic medications such as fluphenazine. Valbenazine is a medication approved for the treatment of tardive dyskinesia in adults
A. Diphenhydramine is an antihistamine medication with anticholinergic properties used in acute dystonia
B Naloxone is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on opioid receptors. It is not indicated for the treatment of tardive dyskinesia.
D. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.
D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication
Correct Answer is A
Explanation
A. Opioids are often prescribed for pain management, and individuals with chronic pain conditions may be at increased risk for developing opioid use disorder if they misuse or become dependent on these medications.
B. While opioids can have sedating effects and may be used by some individuals to promote sleep, it is less likely to be a primary reason for starting opioid use, especially in the context of other significant factors such as chronic pain and anxiety.
C. While exposure to parental substance use can contribute to an individual's risk of developing substance use disorders, there is no indication in the scenario provided that the client's parents used opioids specifically or that their parents' substance use directly influenced the client's opioid use.
D. Opioids are not typically used to treat hallucinations, and their use for performance enhancement in the workplace is uncommon.
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