Which side effects are more common in second-generation antipsychotic medications than in first-generation antipsychotic medications? (Select all that apply.)
a. Agranulocytosis
b. Anticholinergic effects
c. Extrapyramidal symptoms
d. Metabolism by CYP3A4
e. Prolactin elevation
A, B, D
SGAs are more likely than FGAs to cause agranulocytosis and anticholinergic effects and are metabolized by CYP3A4 enzymes. They are not more likely to cause extrapyramidal effects or prolactin elevation.
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The nurse is providing patient teaching to a patient with early stage Alzheimer's disease (AD) and her family. The patient has been prescribed donepezil hydrochloride (Aricept). What should the nurse explain to the patient and family about this drug?
A) It slows the progression of AD. B) It cures AD in a small minority of patients. C) It removes the patient's insight that he or she has AD. D) It limits the physical effects of AD and other dementias.
Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?
1. Semi-recumbent 2. Sitting 3. Squatting 4. Side-lying
Prior to inserting a nasogastric tube, the nurse correctly verifies the client's identity through which of the following methods?
A) Ask the client: "Is your name___?" B) Check the client's identification bracelet. C) Verify the client's room number. D) Call the client by his or her first name.
A nurse is caring for a client with renal calculi. What measure should the nurse employ
for this client? A) Encourage the client to drink at least 1 liter of fluids daily B) Strain all urine through a piece of gauze, cheesecloth, or strainer C) Ask the client to try and avoid ambulating if possible D) Encourage the client to consume plenty of dairy products