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Practice Question

Which medication would a nurse expect to administer when a client is experiencing EPS symptoms and is unable to tolerate an anticholinergic like benztropine (Cogem

Answer Choices:

Correct Answer:

diphenhydramine (Benadryl)

Rationale:

🟢 Extrapyramidal symptoms (EPS) are side effects of antipsychotics that include tremors, muscle rigidity, and dystonic reactions.

🟢 First-line treatment is usually benztropine (Cogentin), an anticholinergic.

🟢 If the client cannot tolerate benztropine due to side effects, diphenhydramine is given as an alternative because it also has anticholinergic properties.

🟢 It works by restoring balance between dopamine and acetylcholine in the central nervous system.

🟢 Nurses must monitor for sedation and anticholinergic effects such as dry mouth or blurred vision.

Want to practice more questions like this?

This question is from NUR180 Mental Health Exam 2 SU 25 which contains 74 questions.

More Questions from This Exam
A client with schizophrenia states, "The devil keeps telling me I am going to burn in hell." What is the appropriate nursing response?

Answer Choices:

A. "Would you like some medication to make the voices go away?"
B. "The devil told me you are going to heaven because you have been a good person."
C. "The voices must be scary for you. Would you like to talk more about how you are feeling."
D. "Don't be silly. The voices are not real and it's all in your head."
A client with schizophrenia is hallucinating and experiencing paranoid thinking. Which nursing intervention would promote in developing trust interventions with this client?

Answer Choices:

A. Help the client understand that anxiety causes paranoid thinking.
B. Show acceptance of the client's delusional beliefs.
C. Encourage the client to participate in group activities.
D. Assign consistent staff members to care for this client.
The nurse is talking with a male client regarding his recent alcohol relapse. The client's statement hints to the idea that he started to drink again after a fight with his wife. What is the best therapeutic response to the patient?

Answer Choices:

A. "Let's talk more about what triggers you to drink alcohol."
B. "Why do you feel the need to drink alcohol when something stressful happens to you?"
C. "Tell me what your childhood was like."
D. "Everyone fights with their spouse from time to time, it shouldn't lead you to drink again."
From Exam
NUR180 Mental Health Exam 2 SU 25

74 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Mental Health
  • Answer Choices: 4
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