A nurse can anticipate anticholinergic side effects are likely when a patient takes:
a. lithium (Lithobid).
b. buspirone (BuSpar).
c. risperidone (Risperdal).
d. fluphenazine (Prolixin).
D
Fluphenazine, a conventional antipsychotic, exerts muscarinic blockade, resulting in dry mouth, blurred vision, constipation, and urinary retention. Lithium therapy is more often associated with fluid-balance problems, including polydipsia, polyuria, and edema. Risperidone therapy is more often associated with movement disorders, orthostatic hypotension, and sedation. Buspirone is associated with anxiety reduction without major side effects.
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Which of the following patients would the nurse most strongly suspect of having obstructive sleep apnea?
a. A severely obese woman with diabetes b. A moderately obese man who snores c. A nonobese woman with hypertension d. A severely obese man with renal dysfunction
Which maternal condition would be considered a contraindication for the application of internal monitoring devices?
a. Unruptured membranes b. Cervix is dilated to 4 cm c. External monitors are currently being used d. Fetus has a known heart defect
The child most likely to receive haloperidol to control symptoms is
a. E, with attention deficit hyperactivity disorder. b. F, with Rett syndrome. c. G, with separation anxiety. d. H, with autistic disorder.
The nurse is caring for a patient newly diagnosed with a primary brain tumor. The patient asks the nurse where his tumor came from. What would be the nurse's best response?
A) "Your tumor originated from somewhere outside the central nervous system." B) "Your tumor is pituitary in origin." C) "Your tumor originated from cells and structures within the brain." D) "Your tumor is from nerve tissue somewhere in your body."