A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?
"I will notify the physician."
"You may have become addicted to this drug."
"This is part of your schizophrenia disease process."
"This is normal while taking this drug and will soon go away."
The Correct Answer is A
A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.
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Related Questions
Correct Answer is D
Explanation
A. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.
Correct Answer is B
Explanation
A. Airborne precautions are unnecessary for administering hydralazine, as it does not involve airborne transmission risks.
B. Hydralazine can cause orthostatic hypotension, especially in older adults, increasing the risk of falls. Therefore, fall precautions are essential.
C. Suicide precautions are not specifically indicated for hydralazine administration.
D. Standard precautions are always in place but do not address the specific risks associated with hydralazine.
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