A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania.
Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.
Fluvastatin.
Lorazepam.
Carbamazepine.
Propranolol.
The Correct Answer is C
Choice A rationale:
Fluvastatin is a medication used to treat high cholesterol. It is not used to treat mania in bipolar disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used for treating anxiety, not typically used as a first-line treatment for mania.
Choice C rationale:
Carbamazepine is an anticonvulsant that is used as a mood stabilizer in the treatment of bipolar disorder. It can help reduce symptoms of mania.
Choice D rationale:
Propranolol is a beta-blocker used to treat high blood pressure and heart conditions. It is not typically used to treat mania in bipolar disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Extrapyramidal symptoms are a common adverse effect of haloperidol.
Choice B rationale:
Intractable hiccups are not typically associated with haloperidol.
Choice C rationale:
Fever is not a common side effect of haloperidol, but could indicate a serious condition like neuroleptic malignant syndrome.
Choice D rationale:
Excessive salivation is not typically a side effect of haloperidol.
Correct Answer is B
Explanation
Choice A rationale:
Pseudoparkinsonism is a side effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, such as tremors and rigidity. It does not typically cause hyperpyrexia or diaphoresis.
Choice B rationale:
Neuroleptic malignant syndrome is a rare but serious side effect of antipsychotic medications. It can cause severe fever (hyperpyrexia), unstable blood pressure, and heavy sweating (diaphoresis)4.
Choice C rationale:
Acute dystonia is a condition of sudden, involuntary muscle contractions. It does not typically cause hyperpyrexia or diaphoresis.
Choice D rationale:
Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, causing involuntary movements, especially around the mouth. It does not typically cause hyperpyrexia or diaphoresis.
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