Pharmacology Psych Meds #7

Question

The psychiatric health care provider orders fluphenazine for a client with schizophrenia. The nurse administering the medication will monitor for which side effect?

Answers

  1. Increased confusion.
    • Rationale:

      This answer is not correct because fluphenazine does not cause confusion. Since the medication is an anticholinergic medication, the client will experience dry mouth, blurred vision, urinary retention, and constipation. Other side effects include anxiety, fatigue, upset stomach, insomnia, anorexia, and weight changes.

  2. Low blood sugar.
    • Rationale:

      This answer is not correct because fluphenazine does not decrease blood glucose. There is no effect on blood glucose while taking fluphenazine.

  3. Hypervigilance
    • Rationale:

      This answer is not correct because hypervilance is not a side effect of fluphenazine. Side effects of anxiety, fatigue, and insomnia have been noted, but hypervigilance is not associated with fluphenazine.

  4. Dry mouth.
    • Rationale:

      This answer is correct because since the medication is an anticholinergic medication, the client will experience dry mouth, blurred vision, urinary retention, and constipation. Other side effects include anxiety, fatigue, upset stomach, insomnia, anorexia, and weight changes. The nurse should teach the side effects of fluphenazine and ways to cope with these.

Overview

Fluphenazine is an anticholinergic antipsychotic used for management of schizophrenia symptoms. The client should be educated about the side effect of dry mouth.

Explanation

The correct answer is D because fluphenazine is an anticholinergic that may cause dry mouth. The other signs/symptoms listed (A, B, C) are not side effects. Other side effects include tardive dyskinesia, malignant syndrome, dizziness, nausea, constipation, sweating, headache, and blurred vision. This medication is used for treating mood conditions.

Learning Outcomes

Fluphenazine is an anticholinergic antipsychotic medication used to treat symptoms of schizophrenia, including delusions, hallucinations, and hostility. Since the medication is an anticholinergic medication, the client will experience dry mouth, blurred vision, urinary retention, and constipation. Other side effects include anxiety, fatigue, upset stomach, insomnia, anorexia, and weight changes. The nurse should teach the side effects of fluphenazine and ways to cope with these.

Test Taking Tip

A saying that can help you remember common side effects of anticholinergic medications is:

Video Rationale