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?
Akathisia
Dystonia
Pseudoparkinsonism
Tardive dyskinesia
The Correct Answer is D
A. Akathisia refers to a subjective feeling of restlessness and an objective inability to sit still.
It's characterized by a need to move constantly and is not typically associated with choreiform movements, lip smacking, or spastic facial distortions.
B. Dystonia involves sustained or intermittent muscle contractions leading to abnormal postures or twisting movements. It typically presents with muscle spasms, not choreiform movements or lip smacking.
C. Pseudoparkinsonism refers to a collection of symptoms that resemble Parkinson's disease, such as tremor, bradykinesia, rigidity, and postural instability. It does not typically involve choreiform movements or lip smacking.
D. Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive movements of the face and body, including choreiform movements (rapid, jerky movements), lip smacking, and spastic facial distortions. It often develops after long-term use of antipsychotic medications like chlorpromazine and can persist even after discontinuation of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To administer the correct dose of vitamin K, which is 1 mg, the nurse should refer to the concentration of the available vitamin K injection.
The available concentration is 1 mg per 0.5 mL. Therefore, to deliver a dose of 1 mg, the nurse needs to administer 0.5 mL. When rounding to the nearest tenth, the amount remains 0.5 mL.
Correct Answer is C
Explanation
A. Alprazolam, a benzodiazepine, typically doesn't cause hypertension. Its primary mechanism of action involves modulation of GABA receptors in the central nervous system, leading to anxiolytic effects rather than effects on blood pressure regulation.
B. There's no documented association between alprazolam use and hearing loss.
Benzodiazepines like alprazolam primarily affect the central nervous system and do not target auditory structures.
C. Sedation is a common side effect of alprazolam due to its CNS depressant properties.
Patients often experience drowsiness, fatigue, and impaired cognitive function, especially when initiating therapy or when doses are increased.
D. Alprazolam typically doesn't cause bradycardia. While it can have mild effects on heart rate, such as tachycardia, significant bradycardia is not a documented adverse effect.
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