The nurse is preparing to assess a client exhibiting extrapyramidal adverse effects. The nurse expects to see which symptoms?(Select all that apply.)
1. Dry mouth
2. Akathisia
3. Parkinsonism
4. Tardive dyskinesia
5. Incontinence
2, 3, 4
Rationale 1: Dry mouth is an anticholinergic effect, but is not an extrapyramidal adverse effect.
Rationale 2: Akathisia is an extrapyramidal adverse effect.
Rationale 3: Parkinsonism is an extrapyramidal adverse effect.
Rationale 4: Tardive dyskinesia is an extrapyramidal adverse effect.
Rationale 5: Incontinence is not an extrapyramidal adverse effect.
Global Rationale: Akathisia, parkinsonism, and tardive dyskinesia are extrapyramidal adverse effects. Dry mouth is an anticholinergic effect. Incontinence is not an extrapyramidal adverse effect.
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A) Refer the client for medical follow-up. B) Evaluate further for a problem with the spleen. C) Assess urinary output. D) Document the position of the liver.
A female patient is having difficulty accepting the diagnosis of a sexually transmitted disease because of being "on the pill" for years. Which information should the nurse provide to aid this patient?
A. Skipping doses could have caused the disease. B. Oral contraceptives do not protect against sexually transmitted diseases. C. Type of birth control pill being used needs to be changed. D. Some diseases are virulent, and the pill will not provide protection.