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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 B

Explanation

Choice A rationale:

Constipation is not a common side effect of lithium carbonate.

Choice B rationale:

Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.

Choice C rationale:

Hyporeflexia is not typically associated with lithium carbonate use.

Choice D rationale:

Elevated blood pressure is not a common side effect of lithium carbonate.

So, the correct answer is B.

A. Increased triglyceride level. B. Weight loss. C. Elevated blood pressure. D. Decreased blood glucose level.

Correct Answer is A

Explanation

Choice A rationale:

Risperidone can indeed increase triglyceride levels. The nurse should monitor this.

Choice B rationale:

Risperidone is more likely to cause weight gain, not weight loss. This is not a common adverse effect.

Choice C rationale:

Risperidone does not typically elevate blood pressure. This is not a common adverse effect.

Choice D rationale:

Risperidone does not typically decrease blood glucose levels. This is not a common adverse effect.

So, the correct answer is A, after analyzing all choices.

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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 teaching with a client who takes lithium carbonate for bipolar disorder.For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.

Correct Answer is B

Explanation

A nurse is administering risperidone to a client who has schizophrenia.For which of the following adverse effects should the nurse monitor?.

Correct Answer is A

Explanation

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A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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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?.