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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?.

A.

Pseudoparkinsonism.

B.

Tardive dyskinesia.

C.

Akathisia.

D.

Dystonia.

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

Choice A rationale:

The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.

Choice B rationale:

Lithium can be taken with or without food. This instruction is not necessary.

Choice C rationale:

It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.

Choice D rationale:

The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.

So, the correct answer is C, after analyzing all choices.

Correct Answer is D

Explanation

Choice A rationale:

Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice B rationale:

Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice C rationale:

Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.

Choice D rationale:

Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.

So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.

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