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.

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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Correct Answer is C

Explanation

Choice A rationale:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B rationale:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C rationale:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D rationale:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.

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

A. "I should take this medication when my spasms are bad.”. B. "I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”. C. "I am glad this medication is safe to take if I get pregnant.”. D. "I should return to the clinic to have my calcium level checked every 6 weeks.”.

Correct Answer is A

Explanation

Choice A rationale:

Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.

Choice B rationale:

While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.

Choice C rationale:

The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.

Choice D rationale:

There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.

So, the correct answer is A.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

Correct Answer is C

Explanation

A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is A

Explanation

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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?.