A nurse is educating a patient who has been prescribed Haloperidol about the risk of extrapyramidal symptoms. Which of the following statements by the patient indicates a need for further teaching?
"All antipsychotic drugs carry an equal risk of causing movement-related side effects."
"These side effects happen because this drug blocks dopamine in certain parts of my brain."
"Taking other drugs with my Haloperidol can increase the risk of extrapyramidal symptoms."
"Tardive dyskinesia occurs with prolonged use of an antipsychotic drug."
The Correct Answer is A
A. "All antipsychotic drugs carry an equal risk of causing movement-related side effects.": First-generation antipsychotics like Haloperidol are more likely to cause extrapyramidal symptoms due to their potent dopamine D2 receptor blockade. Second-generation antipsychotics carry a lower risk, making this statement inconsistent with clinical evidence.
B. "These side effects happen because this drug blocks dopamine in certain parts of my brain.": Extrapyramidal symptoms are primarily due to dopamine blockade in the nigrostriatal pathway, which regulates motor control. Interference in this region leads to tremors, rigidity, and other movement disorders.
C. "Taking other drugs with my Haloperidol can increase the risk of extrapyramidal symptoms.": Concurrent use of medications that also affect dopamine pathways or have sedative effects can increase the likelihood of developing EPS. Drug interactions are a significant factor in overall risk.
D. "Tardive dyskinesia occurs with prolonged use of an antipsychotic drug.": Long-term use of dopamine-blocking agents, especially at high doses, can lead to tardive dyskinesia. This condition involves involuntary movements and may be irreversible, particularly in older adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 100 mg:. The label clearly states that each capsule contains 25 mg of Indomethacin. There is no indication that multiple capsules are taken at once unless prescribed, so 100 mg is incorrect for a single capsule dosage.
B. 125 mg: This is not the indicated dose per capsule.
C. 25 mg: The label clearly indicates that each capsule contains 25 mg of Indomethacin. This is the correct dosage per capsule. Indomethacin is often available in 25 mg increments for safe titration and individualized dosing based on patient need.
D. 75 mg: While 75 mg is a common dosage form for some extended-release Indomethacin preparations, this particular label shows 25 mg immediate-release capsules. There is no mention of 75 mg on the drug label in this case.
Correct Answer is D
Explanation
A. Donepezil cures Alzheimer's disease: There is currently no cure for Alzheimer's disease. Donepezil does not halt or reverse the disease process; it only manages symptoms for a limited period in some patients.
B. Donepezil prevents the progression of Alzheimer’s disease: Donepezil does not prevent the neurodegenerative progression of Alzheimer’s. The disease will continue to advance despite treatment, although symptoms may be temporarily improved.
C. Donepezil reverses Alzheimer’s disease: Alzheimer's-related brain damage is irreversible, and Donepezil cannot regenerate lost neurons or restore lost function. It may slightly improve cognitive function but cannot reverse the disease process.
D. Donepezil provides symptom relief for Alzheimer’s disease: Donepezil is a cholinesterase inhibitor that increases acetylcholine levels in the brain, temporarily improving cognitive symptoms like memory and awareness. It is approved for symptom management, especially in mild to moderate stages.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.