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 B
Explanation
A. The deltoid muscle is typically used for intramuscular injections in adults, but it is not the preferred site for newborns due to their small muscle mass.
B. The vastus lateralis muscle, located on the lateral aspect of the thigh, is the preferred site for intramuscular injections in newborns and infants due to its large muscle mass and accessibility.
C. While the ventrogluteal site is commonly used for intramuscular injections in adults, it may not be as easily accessible or preferred in newborns.
D. The dorsogluteal site is not recommended for intramuscular injections in newborns due to the risk of injury to the sciatic nerve and other underlying structures.
Correct Answer is A
Explanation
A. Tyramine is found in various foods and its levels increase when food is aged or fermented. Avocados, especially if they are overripe, can contain higher levels of tyramine compared to the other options listed. It is important for individuals taking MAOIs to manage their intake of tyramine-rich foods to avoid adverse reactions.
B. 2% milk does not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
C. Sliced apples do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
D. Celery sticks do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
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