A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.
The nurse notes choreiform movements, lip smacking, and spastic facial distortions.
The nurse should document these findings as indicating which of the following conditions?.
Pseudoparkinsonism.
Tardive dyskinesia.
Akathisia.
Dystonia.
The Correct Answer is B
Choice A rationale:
Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.
Choice B rationale:
Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.
Choice C rationale:
Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.
Choice D rationale:
Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.
So, the correct answer is B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.
Choice B rationale:
1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.
Choice C rationale:
1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.
Choice D rationale:
1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.
Correct Answer is ["6"]
Explanation
Step 1 is to calculate the volume of medication to administer. The formula is desired dose ÷ available dose × available volume. So, (300 mg ÷ 250 mg) × 5 mL = 6 mL.
So, the correct answer is 6 mL.
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