Exam 13: Antiparkinsonian Drugs

A psychiatric nurse should base care of patients diagnosed with Parkinson's disease and patients demonstrating extrapyramidal side effects (EPSEs) caused by antipsychotic drug therapy on the premise that symptoms:

Which medication from a patient's pharmacologic profile is most likely to precipitate neuroleptic malignant syndrome (NMS)?

Which neurotransmitter is most affected by an anticholinergic drug?

Which statement by the nurse should be included in the teaching plan for patients receiving anticholinergic agents?

When developing a teaching plan for a patient receiving benztropine (Cogentin), a priority consideration for the nurse is:

Which symptom of Parkinson's disease has the highest priority for nursing intervention?

Which patient receiving fluphenazine (Prolixin) should be monitored most closely for EPSEs?

The nurse caring for a patient receiving a dopaminergic drug should assess the individual for early symptoms of:

An elderly nursing home resident has been diagnosed with type 2 diabetes, hypertension, and dementia. The patient begins taking an antipsychotic drug for agitation. Tremor and bradykinesia develop, so an anticholinergic is added to the drug regimen. Within 3 days the patient displays a marked cognitive deficit. Which medication is the most likely cause of the cognitive change?

A patient who has taken three doses of haloperidol (Haldol) suddenly cries out for help. The nurse observes that the patient's eyes are rolled upward in a fixed gaze. The nurse should assess this finding as:

A patient diagnosed with Parkinson's disease begins levodopa therapy. The nurse understands that administration of levodopa will:

A patient who takes haloperidol (Haldol) for a diagnosis of schizophrenia has a dystonic reaction. Benztropine (Cogentin) 2 mg is given intramuscularly and then continued orally twice daily. Three days later, the patient has fever, disorientation, and tachycardia. Select the best analysis of this scenario.

Of the patients the nurse will see at the mental health center, which one should be assessed most carefully for EPSEs?

A patient who is receiving an antipsychotic drug is restless, paces, and cannot sit still when watching television. The nurse should use which term to document these findings?

A patient who is receiving an antipsychotic drug is restless, paces, and cannot sit still when watching television. The patient says, "I couldn't sleep last night because I needed to pace." The nurse's communication to the health care provider would be to suggest:

An older adult patient who takes trihexyphenidyl (Artane) for drug-induced parkinsonism begins taking diphenhydramine (Benadryl) for cold symptoms. The nurse should carefully monitor this patient for:

Patient teaching for a patient beginning an anticholinergic drug should include:

A patient began trihexyphenidyl (Artane) for treatment of drug-induced parkinsonism. Which finding demonstrates a positive response to the medication?

A patient who has taken three doses of haloperidol (Haldol) suddenly cries out for help. The nurse observes that the patient's eyes are rolled upward in a fixed gaze. The nurse should administer which drug from the patient's PRN list?

When patients are treated with antipsychotic medications, a variety of side effects and adverse reactions may occur. Sequence the following list in order of intervention priority, beginning with the most urgent: A) Akathisia B) Dystonic reaction C) NMS D) Tardive dyskinesia