A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?
An adult client who has type 2 diabetes mellitus and is taking insulin.
A client who is in the third trimester of pregnancy and taking iron supplements.
A client who has schizophrenia and is taking antipsychotic medication.
An older adult client who has pancreatitis and is taking enzymes.
The Correct Answer is C
Choice A reason: Insulin use is not associated with extrapyramidal symptoms.
Choice B reason: Iron supplements do not cause extrapyramidal side effects.
Choice C reason: Antipsychotic medications, especially first-generation antipsychotics, commonly cause extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia.
Choice D reason: Pancreatic enzyme therapy is unrelated to extrapyramidal side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:Seeing purple bugs crawling on the wall suggests visual hallucinations, a symptom of schizophrenia rather than anxiety. Alprazolam, a benzodiazepine, is prescribed for anxiety, not psychotic symptoms, which are better managed with antipsychotics.
Choice B reason:A pounding heart is a physical symptom of anxiety, indicating heightened arousal or panic. This aligns with the indication for alprazolam, which is used to relieve acute anxiety symptoms, making it appropriate to consider administering the medication.
Choice C reason:Claiming to be a government agent may reflect a delusion, a symptom of schizophrenia. Alprazolam is not indicated for delusions, which require antipsychotic treatment, so this statement does not warrant its use.
Choice D reason:Feeling too tired to attend a group meeting suggests fatigue, not necessarily anxiety. Alprazolam is not indicated for tiredness, which may require other interventions like rest or medical evaluation, making this an inappropriate trigger for administration.
Correct Answer is B
Explanation
Choice A reason: Giving 150 mg in one dose would mean the full daily dose is administered at once, not divided as ordered.
Choice B reason: The total daily dose is 150 mg. Dividing this into two equal doses means 150 ÷ 2 = 75 mg per dose.
Choice C reason: Fifty mg per dose would only total 100 mg per day, which is below the prescribed dose.
Choice D reason: One hundred mg per dose would total 200 mg daily, which exceeds the prescribed 150 mg/day.
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