The client is receiving a medication that alters the utilization of glutamate, therefore risking an increase in glutamate levels in the CNS. The nurse should evaluate for which manifestation of high glutamate levels?
1. Blurred vision and dry mouth
2. Signs of neurotoxicity
3. Ataxia
4. Tremors
Correct Answer: 2
Rationale 1: Blurred vision and dry mouth are common side affects of anticholinergic drugs.
Rationale 2: High amounts of glutamate can cause death of neurons, and can be the mechanism responsible for certain types of neurotoxicity.
Rationale 3: Ataxia can be a side affect of medications affecting areas of the brain that regulate coordinated movement.
Rationale 4: Tremors are occasionally a side effect of antiseizure medications.
Global Rationale: High amounts of glutamate can cause death of neurons, and can be the mechanism responsible for certain types of neurotoxicity. Blurred vision and dry mouth are common side affects of anticholinergic drugs. Ataxia can be a side affect of medications affecting areas of the brain that regulate coordinated movement. Tremors are occasionally a side effect of antiseizure medications.
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