Page 2377 - Saunders Comprehensive Review For NCLEX-RN

5. Tossed salad
6. Oatmeal raisin cookies

849. The nurse notes that a client with schizophrenia and receiving an
antipsychotic medication is moving her mouth, protruding her tongue, and
grimacing as she watches television. The nurse determines that the client is
experiencing which medication complication?
1. Parkinsonism
2. Tardive dyskinesia
3. Hypertensive crisis
4. Neuroleptic malignant syndrome
850. The nurse is performing a follow-up teaching session with a client
discharged 1 month ago. The client is taking fluoxetine. Which information
would be important for the nurse to obtain during this client visit regarding
the side and adverse effects of the medication?
1. Cardiovascular symptoms
2. Gastrointestinal dysfunctions
3. Problems with mouth dryness
4. Problems with excessive sweating
851. A client who has been taking buspirone for 1 month returns to the clinic for a
follow-up assessment. The nurse determines that the medication is effective
if the absence of which manifestation has occurred?
1. Paranoid thought process
2. Rapid heartbeat or anxiety
3. Alcohol withdrawal symptoms
4. Thought broadcasting or delusions
852. A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred
vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L (2.5 mmol/L).
The nurse plans care based on which representation of this level?
1. Toxic
2. Normal
3. Slightly above normal
4. Excessively below normal
853. A client gives the home health nurse a bottle of clomipramine. The nurse
notes that the medication has not been taken by the client in 2 months. Which
behavior observed in the client would validate noncompliance with this
medication?
1. Complaints of insomnia
2. Complaints of hunger and fatigue
3. A pulse rate less than 60 beats per minute
4. Frequent hand washing with hot, soapy water
854. A hospitalized client has begun taking bupropion as an antidepressant agent.
The nurse determines that which is an adverse effect, indicating that the
client is taking an excessive amount of medication?
1. Constipation
2. Seizure activity
3. Increased weight
4. Dizziness when getting upright

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