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 A
Explanation
A. Benztropine, an anticholinergic medication, can cause urinary retention or difficulty with urination as a side effect due to its anticholinergic properties. Clients should be instructed to report any difficulty voiding promptly, as it can lead to complications such as urinary tract infections or bladder distention.
B. Benztropine is not typically associated with diarrhea as an adverse effect.
C. While anticholinergic medications can cause tachycardia (increased heart rate) due to their anticholinergic effects, they are not associated with slow pulse.
D. Benztropine is used to decrease excessive salivation (sialorrhea) rather than causing it as an adverse effect.
Correct Answer is A
Explanation
A. Levodopa/carbidopa is often prescribed to manage Parkinson's disease symptoms. Taking it with applesauce, or other light, easily digestible foods, can help reduce nausea, a common side effect of the medication.
B. While yogurt is generally well-tolerated, it may not be as effective in reducing nausea as applesauce.
C. Cheese is not typically recommended to take with levodopa/carbidopa for nausea relief.
D. Spinach is not commonly used to alleviate nausea associated with levodopa/carbidopa intake.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today