A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.

Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

Sexual dysfunction.

Muscle spasms of the neck.

Tremors of the hands.

Fidgeting behavior.

Blurred vision.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale:
Sexual dysfunction is not typically associated with extrapyramidal side effects (EPS). EPS are usually characterized by involuntary motor symptoms.
Choice B rationale:
Muscle spasms of the neck, also known as dystonia, are a common symptom of EPS12.
Choice C rationale:
Tremors of the hands can be a sign of EPS, often associated with drug-induced parkinsonism.
Choice D rationale:
Fidgeting behavior, or akathisia, is a common symptom of EPS. It is characterized by a feeling of restlessness and an inability to sit still.
Choice E rationale:
Blurred vision is not typically associated with EPS. It is more likely to be a side effect of the medication itself, not a symptom of EPS12.

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Correct Answer is B

Explanation

Choice A rationale:
Respiratory depression and a comatose state are not typically associated with agranulocytosis.
Choice B rationale:
Agranulocytosis, a potential side effect of clozapine, can cause symptoms like a sore throat and muscle aches due to the body’s decreased ability to fight off infections.
Choice C rationale:
Increased anxiety and suicidal ideations are not typically symptoms of agranulocytosis.
Choice D rationale:
Severe restlessness is not a common symptom of agranulocytosis.

A. Refer the client for flooding therapy. B. Inform the client that the pain is not real. C. Provide reassurance to the client. D. Encourage the client to request invasive cardiac testing.

Correct Answer is C

Explanation

Choice A rationale:
Flooding therapy is not typically used for somatic symptom disorder.
Choice B rationale:
Telling a client that their pain is not real can invalidate their experience and is not a recommended approach for somatic symptom disorder.
Choice C rationale:
Providing reassurance to the client is a recommended approach when all tests are normal and there are no identified risk factors.
Choice D rationale:
Encouraging the client to request invasive cardiac testing is not typically recommended when all tests are normal and there are no identified risk factors.

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A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

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A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.

Which of the following findings should the nurse recognize as EPS? (Select all that apply.).