Author Question: The nurse is concerned that a client taking an antipsychotic medication is experiencing ... (Read 54 times)

genevieve1028 · **on:** Jul 23, 2018

The nurse is concerned that a client taking an antipsychotic medication is experiencing extrapyramidal side effects. For which effects should the nurse notify the health care provider?

1. Complaints of slight drowsiness
2. Urinary hesitancy
3. Muscular spasms of the head and neck
4. Dry mouth

Question 2

The nurse is instructing a client on the characteristics of central nervous system medications. Which characteristic should be included in this teaching?

1. Ability of the medications to cross the bloodbrain barrier
2. Neurotransmitters
3. Function of a neuron
4. Location of synapses

asdfasdf · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Complaints of drowsiness are common with many medications.
Rationale 2: Urinary hesitancy is a common anticholinergic adverse affect.
Rationale 3: Adverse extrapyramidal symptoms include jerking motions; muscular spasms of the head, face, and neck; and akathisia. They can cause nerve damage if allowed to continue.
Rationale 4: Dry mouth is a common anticholinergic adverse effect treated by sucking on hard candy and increasing fluid intake.
Global Rationale: Adverse extrapyramidal symptoms include jerking motions; muscular spasms of the head, face, and neck; and akathisia. They can cause nerve damage if allowed to continue. Complaints of drowsiness are common with many medications. Urinary hesitancy is a common anticholinergic adverse affect. Dry mouth is a common anticholinergic adverse effect treated by sucking on hard candy and increasing fluid intake.

Answer to Question 2

Correct Answer: 1
Rationale 1: CNS drugs must be designed with the capability of penetrating the bloodbrain barrier to produce their effects.
Rationale 2: The nurse does not need to instruct the client about neurotransmitters.
Rationale 3: The nurse does not need to instruct the client about the function of a neuron.
Rationale 4: The nurse does not need to instruct the client about the location of synapses.
Global Rationale: CNS drugs must be designed with the capability of penetrating the bloodbrain barrier to produce their effects. The nurse does not need to instruct the client about neurotransmitters, the function of the neurons, or the location of synapses.