Exam 13: Antiparkinsonian Drugs

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

A psychiatric nurse should base care of patients diagnosed with Parkinson disease and patients demonstrating extrapyramidal side effects (EPSEs) caused by antipsychotic drug therapy on what premise concerning symptoms?

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?

Which patient receiving fluphenazine should be monitored most closely for extrapyramidal side effects (EPSEs)?

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

A patient has taken perphenazine for a year. The nurse observes lip smacking and grinding teeth. Which tool should the nurse use to complete the client's assessment?

The nurse caring for a patient receiving a dopaminergic drug should assess the individual for early symptoms of what schizophrenia-associated condition?

The nurse providing patient teaching regarding an anticholinergic drug demonstrates an understanding of this classification of medication by including what instruction?

A patient who has taken three doses of haloperidol suddenly cries out for help. The nurse observes that the patient's eyes are rolled upward in a fixed gaze. The nurse should document this behavior using what term?

When patients are treated with antipsychotic medications, a variety of side effects and adverse reactions may occur. Which possible reaction presents the highest risk for patient injury? (Select all that apply.)

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

A patient who has taken three doses of haloperidol 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?

An older adult patient who takes trihexyphenidyl begins taking diphenhydramine (Benadryl) for cold symptoms. The nurse should carefully monitor this patient for what possible anticholinergic effect?

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

Which neurotransmitter is most affected by an anticholinergic drug?

Which statement by the nurse indicates an understanding of the safe and effective administration of an anticholinergic medication?

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 diagnosed with Parkinson disease begins levodopa therapy. What outcome should the nurse expect from levodopa therapy?

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." What is the expected intervention by the patient's primary health care provider?

When developing a teaching plan for a patient receiving benztropine, what is a priority nursing consideration?