Exam #2 Question&answer

The nurse should immediately report the development of which of the following symptoms in a patient taking antipsychotic medication? 1. Fever, tachycardia, confusion, incontinence. 2. Pacing, squirming, or difficultly with gait such as bradykinesia. 3. Severe spasms of the muscles of the tongue, face, neck, or back. 4. Sexual dysfunction or gynecomastia. {Ans: Answer 1. Rationale: Fever, tachycardia, confusion, and incontinence are symptoms of the development of NMS and should be immediately reported. Option 2, 3, and 4 are incorrect. Pacing and squirming are signs of akathisia, and bradykinesia and tremors are symptoms of secondary Parkinsonism. These adverse effects along with sexual dysfunction and gynecomastia, are adverse effects that may occur with therapy and may not be preventable. NMS is a medical emergency requiring immediate treatment.}A health care professional is collecting data from a patient who is taking bupropion hydrochloride (Wellbutrin) to treat depression. The health care professional notes that the patient has a recent history of a head injury. She should recognize that the drug is inappropriate for the patient because of the increased risk of which of the following? 1. Ischemic stroke 2. Drowsiness 3. Respiratory depression 4. Seizure activity {Ans: Answer 4. Rationale: Bupropion, an