Practice Question
A nurse administers a dose of metoclopramide to a client prior to a chemotherapy treatment. The client develops uncontrolled contractions of the head and neck muscles. Which of the following medications should the nurse administer?
Answer Choices:
Correct Answer:
Diphenhydramine
Rationale:
💊 The client is showing signs of an acute dystonic reaction, a type of extrapyramidal symptom (EPS), which can occur after taking metoclopramide due to its dopamine antagonist effects.
💊 Diphenhydramine, an antihistamine with anticholinergic properties, is effective in rapidly reversing dystonia by restoring the balance between dopamine and acetylcholine in the CNS.
💊 Hydromorphone is an opioid analgesic and will not treat EPS.
💊 Albuterol sulfate is a bronchodilator for asthma or bronchospasm, unrelated to EPS.
💊 Amitriptyline is a tricyclic antidepressant and not indicated for acute dystonia.
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This question is from PREDICTOR ASSESSMENT-6.8.2025 which contains 173 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 4