The nurse has administered a dose of haloperidol to a client with schizophrenia. Which of the following adverse effects would need to be reported to the provider immediately?
Dry mouth
Oral temperature of 101 F
Drowsiness
Blood pressure of 104/72 mmHg
The Correct Answer is B
The nurse would need to report an oral temperature of 101 F to the provider immediately. This could be a sign of neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening reaction to antipsychotic medications such as haloperidol ¹. NMS can cause high fever, muscle rigidity, and changes in mental status ¹.
Option A is incorrect because dry mouth is a common side effect of haloperidol and would not need to be reported to the provider immediately ².
Option C is incorrect because drowsiness is a common side effect of haloperidol and would not need to be reported to the provider immediately ⁴.
Option D is incorrect because a blood pressure of 104/72 mmHg is within the normal range and would not need to be reported to the provider immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Tolerance can develop over time and lead to the need for higher doses – This is correct because long-term use of clonazepam, like other benzodiazepines, can result in tolerance, potentially necessitating higher doses to achieve the same therapeutic effect.
B. Skip a dose if you need to drive – This is incorrect. Clients should be advised to take their medication as prescribed and consult their healthcare provider about driving, as clonazepam can impair coordination and reaction times.
C. Skip a dose if you plan to go out drinking with friends – This is incorrect. While it’s important to avoid alcohol when taking clonazepam due to the increased risk of sedation and respiratory depression, clients should not skip doses without consulting their healthcare provider.
D. Do not try to taper yourself off this medication without physician guidance – This is correct. Stopping clonazepam suddenly can lead to withdrawal symptoms and seizure recurrence, so any changes in medication should always be done under the guidance of a healthcare provider.
Correct Answer is A
Explanation
Teratogenic refers to an agent or factor that causes malformation of an embryo ¹. It is something that can interfere with normal fetal development and cause congenital disabilities ³. Drugs, alcohol, chemicals, and toxic substances are examples of teratogens ³.
Option B is not correct because teratogenic specifically refers to harm caused to a fetus, not kidney damage.
Option C is not correct because teratogenic does not refer to a medication acting in the opposite manner than expected.
Option D is not correct because teratogenic does not refer to a medication causing an additive effect.
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