A client diagnosed with schizophrenia, who has been taking antipsychotic medication for the last 5 months, presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?
Neuroleptic malignant syndrome, treated by discontinuing antipsychotic medications
Agranulocytosis treated by administration of clozapine (Clozaril)
Tardive dyskinesia treated by discontinuing antipsychotic medication
Headache treated by administration of Hydrochlorothiazide
The Correct Answer is C
A. Neuroleptic malignant syndrome, treated by discontinuing antipsychotic medications: The symptoms described (uncontrollable tongue movements, stiff neck, difficulty swallowing) are more indicative of tardive dyskinesia than neuroleptic malignant syndrome. Neuroleptic malignant syndrome is characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity. Treatment involves discontinuing antipsychotic medications and supportive care.
B. Agranulocytosis treated by administration of clozapine (Clozaril): Agranulocytosis is a rare but serious side effect of clozapine, not a treatment for the symptoms described. The symptoms presented are more consistent with tardive dyskinesia.
C. Tardive dyskinesia treated by discontinuing antipsychotic medication: This is the correct answer. Tardive dyskinesia is a movement disorder characterized by involuntary and abnormal movements, including tongue protrusion and facial grimacing. It can result from long-term use of antipsychotic medications, and discontinuing or reducing the dose of the antipsychotic is a primary intervention.
D. Headache treated by administration of Hydrochlorothiazide: Hydrochlorothiazide is a diuretic used to treat conditions like high blood pressure and edema, not headache or the symptoms described, which are more indicative of tardive dyskinesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To calculate the number of tablets needed, you can use the formula:
Number of tablets =Total dosage ordered/Dosage strength per tablet
In this case:
Number of tablets =150mg/50 mg/tablet
Number of tablets=3tablets
So, the correct answer is:
3.0 Tabs
Correct Answer is A
Explanation
A. Correct. Using the proportion, the correct dose of fluoxetine (Prozac) for the prescribed 60 mg is 15 mL.
B. Incorrect. This is not the correct dose. The correct dose is 15 mL, not 20 mL.
C. Incorrect. This is not the correct dose. The correct dose is 15 mL, not 25 mL.
D. Incorrect. This is not the correct dose. The correct dose is 15 mL, not 10 mL.
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