A 42-year-old woman is brought to the emergency department by her husband for new-onset tremors and extreme restlessness.  She feels nauseated and anxious.  The patient works as a nursing aide; she recently injured her back lifting a patient and was prescribed tramadol.  She has a history of major depression with psychotic features.  Her other medications include venlafaxine and aripiprazole.  Temperature is 38.3 C (101 F), blood pressure is 160/100 mm Hg, pulse is 125/min, and respirations are 20/min.  On examination, the patient is flushed and diaphoretic and her voice is tremulous.  Mild rigidity and tremors are noted in her lower extremities.  Deep tendon reflexes are 3+.  Pupillary dilation and ocular clonus are present.  Dysregulation of which of the following neurotransmitters is the most likely cause of this patient's symptoms? A.Acetylcholine B.Dopamine C.Gamma-aminobutyric acid D.Glutamate E.Norepinephrine F.SerotoninProceed To Next Item

The nurse is triaging phone calls at the mental health clinic. Which client situation requires immediate follow-up? A client prescribedA. olanzapine reporting muscle stiffness and feeling hot.B. haloperidol reporting blurred vision and constipation.C. clozapine reporting occasional twitches of the mouth.D. aripiprazole reporting feeling very restless.

The nurse is interviewing a client who is assessed to have poor muscle coordination, stooped posture, and slow movements. Which medication on the client's daily medication list would most likely cause these findings?A. HaloperidolB. NifedipineC. VenlafaxineD. Prazosin

A 38-year-old woman was referred to a psychiatrist after tellingher primary care physician that she had difficulty sleeping(awakening at 4 AM frequently for the past few months) anda lack of appetite causing a weight loss of over 20 lb. She alsosaid she no longer enjoyed going out with her friends or doingvolunteer service for underprivileged children. What type ofdrug is her doctor most likely to suggest as an initial step in hertherapy?A. A serotonergic receptor antagonistB. A selective serotonin reuptake inhibitorC. An inhibitor of monoamine oxidaseD. An amphetamine-like drugE. A drug that causes an increase in both serotonin anddopamine levels

Nikki's doctor prescribes a depressant to help her relax and get some sleep at night. Her doctor has most likely prescribed a(n)Multiple Choiceamphetamine.steroid.barbituratehallucinogen.

A 54-year-old man is brought to the emergency department after his family found him on the floor and unresponsive at home.  The patient has a history of hypertension but is not adherent with medical treatment.  He smokes cigarettes and uses cocaine.  Temperature is 36.6 C (97.9 F), blood pressure is 176/98 mm Hg, pulse is 58/min, and respirations are 12/min and irregular.  The patient is unresponsive to deep sternal rub.  The right pupil is widely dilated and unresponsive to light.  There is intermittent extended posturing of the left arm and leg.  Deep tendon reflexes are 4+ in the left extremities, and Babinski sign is present on the left side.  Which of the following is the most likely cause of this patient's current condition? A.Basal ganglia hemorrhage B.Cerebellar hemorrhage C.Medullary ischemic infarction D.Midbrain ischemic infarction E.Occipital cortex ischemic infarctionProceed To Next Item