The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Hyperglycemia event

Captopril (Capoten) side effect

Verapamil (Calan) side effect

Digoxin (Lanoxin) toxicity

Answer and Explanation

The Correct Answer is D

A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.

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Correct Answer is A

Explanation

A. Lithium is a mood stabilizer specifically used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is used for anxiety management, not for treating acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating acute mania.
D. Paroxetine (Paxil) is an antidepressant used for depression and is not indicated for treating acute mania.

A. "I will notify the physician." B. "You may have become addicted to this drug." C. "This is part of your schizophrenia disease process." D. "This is normal while taking this drug and will soon go away."

Correct Answer is A

Explanation

A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.

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The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?

Correct Answer is A

Explanation

A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?

Correct Answer is A

Explanation

A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?

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