Page 2381 - Saunders Comprehensive Review For NCLEX-RN

Health Problem: Mental Health: Mood Disorders
Priority Concepts: Nutrition; Safety
Reference: Varcarolis (2017), pp. 215, 218.

849. Answer: 2

Rationale: Tardive dyskinesia is a reaction that can occur from antipsychotic
medication. It is characterized by uncontrollable involuntary movements of the body
and extremities, particularly the tongue. Parkinsonism is characterized by tremors,
mask-like facies, rigidity, and a shuffling gait. Hypertensive crisis can occur from the
use of monoamine oxidase inhibitors and is characterized by hypertension, occipital
headache radiating frontally, neck stiffness and soreness, nausea, and vomiting.
Neuroleptic malignant syndrome is a potentially fatal syndrome that may occur at
any time during therapy with neuroleptic (antipsychotic) medications. It is
characterized by dyspnea or tachypnea, tachycardia or irregular pulse rate, fever,
blood pressure changes, increased sweating, loss of bladder control, and skeletal
muscle rigidity.
Test-Taking Strategy: Focus on the subject, a complication of antipsychotic
medications. To direct you to the correct option, remember that tardive dyskinesia is
characterized by uncontrollable involuntary movements of the body and extremities,
particularly the tongue.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Psychotherapeutics: Antipsychotics
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Clinical Judgment; Psychosis
Reference: Varcarolis (2017), p. 268.

850. Answer: 2

Rationale: The most common side and adverse effects related to fluoxetine
include central nervous system and gastrointestinal system dysfunction. Fluoxetine
affects the gastrointestinal system by causing nausea and vomiting, cramping, and
diarrhea. Cardiovascular symptoms, dry mouth, and excessive sweating are not side
and adverse effects associated with this medication.
Test-Taking Strategy: Focus on the subject, common side and adverse effects of
fluoxetine. It is necessary to remember that this medication causes gastrointestinal
problems. This will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Psychotherapeutics: Selective Serotonin Reuptake
Inhibitors (SSRIs)
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Clinical Judgment; Safety
References: Burchum, Rosenthal (2016), pp. 360-361; Skidmore (2017), pp. 519-521.

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