Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?.
A. Slow pulse.
Slow pulse is not a common side effect of benztropine.
B. Difficulty voiding.
Difficulty voiding is a known side effect of benztropine due to its anticholinergic effects.
C. Excessive salivation.
Excessive salivation is not a common side effect of benztropine, dry mouth is more common.
D. Diarrhea.
Diarrhea is not a common side effect of benztropine, constipation is more common. So, the correct answer is B.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Slow pulse is not a common side effect of benztropine.
Choice B rationale:
Difficulty voiding is a known side effect of benztropine due to its anticholinergic effects.
Choice C rationale:
Excessive salivation is not a common side effect of benztropine, dry mouth is more common.
Choice D rationale:
Diarrhea is not a common side effect of benztropine, constipation is more common.
So, the correct answer is B.
Similar Questions
A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.
The nurse notes choreiform movements, lip smacking, and spastic facial distortions.
The nurse should document these findings as indicating which of the following conditions?.
A. Pseudoparkinsonism.
Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.
B. Tardive dyskinesia.
Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.
C. Akathisia.
Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.
D. Dystonia.
Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described. So, the correct answer is B.
Full Explanation
Choice A rationale:
Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.
Choice B rationale:
Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.
Choice C rationale:
Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.
Choice D rationale:
Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.
So, the correct answer is B.
A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets.
Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer?
(Round to the nearest tenth. Use a leading zero if it applies.)
Full Explanation
Step 1 is to determine the amount of lorazepam that needs to be administered, which is 1 mg.
Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Concentration (mg/mL)
Given that the solution has a concentration of 2 mg/mL, we calculate:
1 mg ÷ 2 mg/mL = 0.5 mL
Therefore, the nurse should administer 0.5 mL of lorazepam oral solution.
A nurse is preparing to administer citalopram 30 mg PO to a client who has major depression.
Available in citalopram 20 mg tablets.
How many tablets should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies.)
Full Explanation
Step 1 is to determine the amount of citalopram that needs to be administered, which is 30 mg.
Step 2 is to calculate the number of tablets needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Strength per tablet (mg/tab)
Given that each tablet contains 20 mg, we calculate:
30 mg ÷ 20 mg/tab = 1.5 tablets
Therefore, the nurse should administer 1.5 tablets of citalopram.