A nurse is reviewing the medication administration records of a group of clients who have been newly admitted to a long-term care facility.
Which of the following clients should the nurse monitor for extrapyramidal symptoms?.
A client who has schizophrenia and is taking an antipsychotic medication.
A client who has type 2 diabetes mellitus and is taking insulin.
A client who has chronic pancreatitis and is taking pancreatic enzymes.
A client who has hypertension and is taking a beta-adrenergic blocker.
The Correct Answer is A
Choice A rationale:
Antipsychotic medications can cause extrapyramidal symptoms, which include involuntary muscle contractions and tremors.
Choice B rationale:
Insulin, used to treat type 2 diabetes mellitus, does not typically cause extrapyramidal symptoms.
Choice C rationale:
Pancreatic enzymes, used to treat chronic pancreatitis, are not associated with extrapyramidal symptoms.
Choice D rationale:
Beta-adrenergic blockers, used to treat hypertension, do not typically cause extrapyramidal symptoms.
So, the correct answer is A, A client who has schizophrenia and is taking an antipsychotic medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Blistering around the insertion site is not a common sign of phlebitis. It could indicate a more severe complication like extravasation or infiltration.
Choice B rationale:
Streak formation along the vein is a classic sign of phlebitis. It indicates inflammation and possible infection.
Choice C rationale:
Erythema at the insertion site is another common sign of phlebitis. It indicates inflammation.
Choice D rationale:
Warmth at the insertion site is also a common sign of phlebitis. It is caused by increased blood flow to the area due to inflammation. So, the correct answers are B, C, and D.
Correct Answer is C
Explanation
The correct answer is: C. Avocados.
Choice A reason: Milk, especially when fresh and not aged, is generally low in tyramine. The tyramine content in milk does not significantly increase unless the milk is fermented or nearing expiration. Therefore, 2 % milk is considered a safe option for individuals taking MAOIs.
Choice B reason: Fresh fruits like apples are typically low in tyramine. However, as fruits ripen or become overripe, their tyramine content can increase. Since the question specifies “sliced apples,” which are likely to be fresh, they would not have a high tyramine content and are considered safe for someone on MAOIs.
Choice C reason: Avocados, particularly if they are overripe, contain higher levels of tyramine compared to other foods listed. Overripe avocados can have a tyramine content that is high enough to be of concern for individuals taking MAOIs, making them the food choice with the highest tyramine content among the options provided.
Choice D reason: Celery is a low-tyramine food and is safe for consumption by individuals on MAOI therapy. There is no significant increase in tyramine content in celery, even as it ages, making it a suitable option for those with dietary restrictions related to MAOIs.
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