A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. For which of the following adverse effects of benztropine should the nurse monitor?
Diaphoresis
Tachycardia
Diarrhea
Polyuria
The Correct Answer is B
Choice A reason:
Benztropine has anticholinergic properties, which decrease sweating rather than increase it. Clients are at risk for heat intolerance and hyperthermia, not diaphoresis.
Choice B reason:
Tachycardia is a common anticholinergic adverse effect due to vagal inhibition and increased heart rate. Monitoring cardiovascular status is essential, especially in older adults or those with cardiac disease.
Choice C reason:
Anticholinergic medications reduce gastrointestinal motility, leading to constipation rather than diarrhea. Therefore, diarrhea is not expected.
Choice D reason:
Benztropine causes urinary retention, not polyuria. Clients may have difficulty initiating urination or experience bladder distention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Telling the client to stop the behavior and dismissing their fear is non-therapeutic. It invalidates the client’s feelings and does not encourage communication.
Choice B reason: Acknowledging the difficulty of the client’s compulsion and inviting them to talk about their feelings is therapeutic. It validates their experience, reduces anxiety, and opens the door for supportive dialogue. This is the correct response.
Choice C reason: Suggesting the client is seeking attention is judgmental and non-therapeutic. It undermines trust and may increase agitation.
Choice D reason: While recognizing the client’s need to expend energy is partially supportive, shifting the focus to anger does not address the client’s expressed fear. It risks misinterpreting the client’s concern and does not directly validate their anxiety.
Correct Answer is C
Explanation
Choice A reason:
Supervised physical activity may be beneficial later to channel excess energy, but it does not address the immediate need to reduce overstimulation, which can worsen manic symptoms.
Choice B reason:
Maintaining a calm attitude is essential for therapeutic communication; however, it is not the highest-priority initial intervention when managing acute mania.
Choice C reason:
Decreasing environmental stimuli is the priority intervention because excessive noise, light, and activity can intensify manic behaviors. A low-stimulus environment promotes safety, reduces agitation, and helps prevent escalation.
Choice D reason:
Encouraging rest is important, but manic clients often cannot rest until environmental stimuli are controlled. Rest becomes more achievable after stimulation is reduced.
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