1) A nurse is caring for a pt who isreceiving Haloperidol. The nurse should identify which ofthe following findings as an adverse effect of themed?

-Akathisia = CORRECT ANSWER

An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia.

-Paresthesia

Haloperidol, an antipsychotic neurolepticmedication, can cause CNS adverse effectssuch asseizures, confusion, and neuroleptic syndrome.However, paresthesia is

not an adverse effect of haloperidol.

-Excess tear production

Haloperidol has anticholinergic properties that can cause sensory adverse effects such as increased intraocular pressure, blurred vision, and dry eyes.

-Anxiety

Haloperidol can be prescribed to treat severe agitation as well as psychotic manifestations.

2) A nurse is providing teaching to a pt who isto start taking Sumatriptan. Which of the following adverse effectsshould the nurse instruct the pt to monitorfor and report to

the provider?

-Chest pressure= CORRECT ANSWER

Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The clientshould report chest pressure or heavy arms to the

provider.

-White patches on the tongue

White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan.

-Bruising

Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan.

-Insomnia

Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication.

3) A nurse isteaching a pt who isstarting to take Amitriptyline. Which ofthe following findingsshould the nurse include in the teaching as an adverse effect ofthemed?

-Diarrhea

Constipation is an adverse effect of amitriptyline.

-Cough

Developing a cough is not an adverse effect of amitriptyline.

-Urinary retention = CORRECT ANSWER

The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention.

-Increased libido

A decrease in libido is an adverse effect of amitriptyline.

4) A nurse is assessing a ptwho istaking Tamoxifen to treat breast cancer. Which ofthe following findingsisthe priority forthe nurse to reportto the provider?

-Hot flashes

The client is atrisk for hot flashes as an adverse effect of tamoxifen; however, another finding isthe priority to report to the provider. The nurse should encourage

the client to avoid caffeine and spicy foods to prevent hot flashes.

-Gastrointestinal irritation

The client is at risk for gastrointestinal irritation (GI) as an adverse effect of tamoxifen; however, anotherfinding isthe priority to reportto the provider. The nurse

should administer the medication with food or fluids to reduce GI irritation.