A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

Shuffling walk

Suicidal ideation

Abnormal movements of the tongue and face

Oculogyric crisis

Answer and Explanation

The Correct Answer is D

A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.

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Correct Answer is C

Explanation

A. School-age. While some early signs of schizophrenia may appear in childhood, the diagnosis is generally not made during this age group. Schizophrenia typically manifests later, with more distinct symptoms.
B. Older adulthood. Schizophrenia is not commonly diagnosed in older adulthood. While some individuals may experience late-onset schizophrenia, the majority of cases are diagnosed earlier in life, typically in young adulthood.
C. Young adulthood. Schizophrenia is most commonly diagnosed in late adolescence to early adulthood, usually between the ages of 18 and 30. This age group is critical as the onset of symptoms tends to occur during this developmental period.
D. Preschooler. Schizophrenia is extremely rare in preschool-aged children. Diagnosing schizophrenia in this age group is challenging, as many of the behaviors associated with the disorder can overlap with typical developmental variations.

A. Nausea and vomiting B. Hallucinations and delusions C. Seizures and tremors D. Uncontrolled movements around the mouth

Correct Answer is D

Explanation

A. Nausea and vomiting. While some antipsychotic medications may cause gastrointestinal side effects, nausea and vomiting are not characteristic of tardive dyskinesia. Tardive dyskinesia specifically affects involuntary motor control.
B. Hallucinations and delusions. These are symptoms of psychotic disorders, not side effects of tardive dyskinesia. While some antipsychotic medications can cause paradoxical worsening of psychosis, tardive dyskinesia primarily involves involuntary movements rather than psychiatric symptoms.
C. Seizures and tremors. Some antipsychotics lower the seizure threshold, increasing seizure risk, while tremors are more associated with drug-induced parkinsonism. However, these are different from the repetitive, involuntary movements seen in tardive dyskinesia.
D. Uncontrolled movements around the mouth. Tardive dyskinesia is a serious side effect of long-term antipsychotic use, characterized by involuntary movements, especially around the mouth, tongue, and face (e.g., lip smacking, tongue protrusion, and grimacing). These movements can become permanent, making early detection and intervention crucial.

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A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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