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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice B rationale:

Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice C rationale:

Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.

Choice D rationale:

Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.

So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.

Correct Answer is ["3.5"]

Explanation

Answer and explanation

Step 1 is to calculate the volume of haloperidol lactate oral solution that contains 7 mg of haloperidol lactate. This is done by dividing the prescribed dose (7 mg) by the concentration of the oral solution (2 mg/mL). So, 7 mg ÷ 2 mg/mL = 3.5 mL.

So, the correct answer is 3.5 mL.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a prescription for phenytoin.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

Explanation

A nurse is preparing to administer haloperidol lactate 7 mg PO to a client who has psychosis. Available is haloperidol lactate 2 mg/mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.

Correct Answer is ["3.5"]

Explanation

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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?.