A healthcare professional is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The healthcare professional should recognize that the medication affected which of the following systems in the client?

Correct Answer: C

Rationale: Extrapyramidal effects are movement disorders that can be caused by certain medications affecting the central nervous system. These effects can include symptoms like tremors, rigidity, and bradykinesia. Medications like typical antipsychotics are known to induce extrapyramidal effects by interfering with dopamine transmission in the central nervous system.

Correct Answer: B

Rationale: Fever is a key symptom of serotonin syndrome, a potentially serious condition that can occur with the use of SSRIs like Sertraline. Serotonin syndrome is characterized by excessive levels of serotonin in the body, leading to symptoms such as fever, agitation, confusion, tremors, and sweating. If a client on Sertraline presents with fever, the nurse should consider the possibility of serotonin syndrome and take appropriate actions such as notifying the healthcare provider and monitoring the client closely.

Correct Answer: B

Rationale: In this scenario, the highest priority finding to report to the provider when a male client is taking Haloperidol is neck spasms (Option B). This is because neck spasms can indicate a serious side effect known as acute dystonia, which is a severe extrapyramidal symptom caused by Haloperidol. Acute dystonia can lead to airway obstruction and is considered a medical emergency requiring immediate intervention to prevent complications. Therefore, reporting neck spasms promptly is crucial for the client's safety. Regarding the other options: A) Shuffling gait: While this can be a side effect of Haloperidol (parkinsonism), it is not as urgent or potentially life-threatening as acute dystonia. C) Drowsiness: Drowsiness is a common side effect of many antipsychotic medications, including Haloperidol, and may not require immediate intervention unless severe. D) Impotence: While impotence is a possible side effect of Haloperidol, it is not a critical issue that requires immediate reporting compared to the risk of acute dystonia. Educationally, this question highlights the importance of recognizing and prioritizing potential side effects of medications, especially those with serious implications like acute dystonia. It emphasizes the need for healthcare professionals to have a thorough understanding of pharmacology, drug side effects, and the significance of timely reporting concerning adverse reactions to ensure patient safety.

Correct Answer: B

Rationale: Liver damage is an adverse effect of Atomoxetine. The nurse should monitor for manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes. It is crucial to be vigilant for signs of liver damage to ensure early detection and intervention to prevent further complications.

Correct Answer: D

Rationale: In this scenario, the priority action for the nurse is to obtain baseline vital signs. This is crucial for establishing a baseline assessment, especially for a patient undergoing opioid withdrawal and starting a new medication like Clonidine. Monitoring vital signs is essential for evaluating the patient's response to treatment and detecting any potential complications early on.