Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following clients should the nurse monitor for extrapyramidal symptoms?.
A. A client who has schizophrenia and is taking an antipsychotic medication.
Antipsychotic medications can cause extrapyramidal symptoms, which include involuntary muscle contractions and tremors.
B. A client who has type 2 diabetes mellitus and is taking insulin.
Insulin, used to treat type 2 diabetes mellitus, does not typically cause extrapyramidal symptoms.
C. A client who has chronic pancreatitis and is taking pancreatic enzymes.
Pancreatic enzymes, used to treat chronic pancreatitis, are not associated with extrapyramidal symptoms.
D. A client who has hypertension and is taking a beta-adrenergic blocker.
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.
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:
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.
Similar Questions
A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa.
Which of the following actions should the nurse take?.
A. Chill the medication prior to administration.
Chilling the medication prior to administration is not recommended. Cold ear drops can cause dizziness or discomfort when instilled into the ear. It is generally advised to warm the drops to body temperature by holding the bottle in your hands for a few minutes before administration.
B. Hold the dropper against the ear canal while instilling the medication.
Holding the dropper against the ear canal while instilling the medication is incorrect. The dropper should be held above the ear canal to avoid contamination and injury. Touching the dropper to the ear canal can introduce bacteria and cause infection.
C. Apply gentle pressure with a finger to the tragus of the ear.
Applying gentle pressure with a finger to the tragus of the ear helps to facilitate the flow of the medication into the ear canal. This action helps to ensure that the medication reaches the affected area effectively.
D. Straighten the external auditory canal by pulling it down and back.
Straightening the external auditory canal by pulling it down and back is incorrect for adults. For adults, the correct method is to pull the ear up and back to straighten the ear canal. Pulling it down and back is the method used for children.
Full Explanation
The correct answer is choice C. Apply gentle pressure with a finger to the tragus of the ear.
Choice A rationale:
Chilling the medication prior to administration is not recommended. Cold ear drops can cause dizziness or discomfort when instilled into the ear. It is generally advised to warm the drops to body temperature by holding the bottle in your hands for a few minutes before administration.
Choice B rationale:
Holding the dropper against the ear canal while instilling the medication is incorrect. The dropper should be held above the ear canal to avoid contamination and injury. Touching the dropper to the ear canal can introduce bacteria and cause infection.
Choice C rationale:
Applying gentle pressure with a finger to the tragus of the ear helps to facilitate the flow of the medication into the ear canal. This action helps to ensure that the medication reaches the affected area effectively.
Choice D rationale:
Straightening the external auditory canal by pulling it down and back is incorrect for adults. For adults, the correct method is to pull the ear up and back to straighten the ear canal. Pulling it down and back is the method used for children.
A nurse is reinforcing discharge instructions with a client who has multiple sclerosis (MS). Which of the following instructions should the nurse include?.
A. "Plan to relax in a hot tub spa each day.”.
Relaxing in a hot tub spa each day is not recommended for MS patients as heat can exacerbate symptoms.
B. "Implement a schedule to include periods of rest.”.
Implementing a schedule to include periods of rest is beneficial as fatigue is a common symptom of MS12.
C. "Wait to perform difficult tasks until later in the day.”.
Waiting to perform difficult tasks until later in the day is not necessarily beneficial as fatigue can occur at any time.
D. "Limit your intake of dairy products.”.
Limiting intake of dairy products is not specifically related to managing MS12. So, the correct answer is B.
Full Explanation
Choice A rationale:
Relaxing in a hot tub spa each day is not recommended for MS patients as heat can exacerbate symptoms.
Choice B rationale:
Implementing a schedule to include periods of rest is beneficial as fatigue is a common symptom of MS12.
Choice C rationale:
Waiting to perform difficult tasks until later in the day is not necessarily beneficial as fatigue can occur at any time.
Choice D rationale:
Limiting intake of dairy products is not specifically related to managing MS12.
So, the correct answer is B.
A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease.
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.
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.