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A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

A.

Impaired gait

B.

Fidgeting behavior

C.

Muscle contractions of the neck

D.

Fluctuating vital signs

E.

Sexual dysfunction

Answer and Explanation

Correct Answer : A,C

A.    Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B.    Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C.    Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D.    Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E.    Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
 


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Related Questions

Correct Answer is B

Explanation

A. While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs.
B. Determining the client’s stage of grief is the first step to understanding the client's emotional state
and providing appropriate support.
C. Encouraging expression is important, but first, understanding the client’s grief stage will guide the
intervention.
D. Spiritual support is valuable, but first, understanding the client's emotional response is necessary before offering this type of assistance.

Correct Answer is C

Explanation

A. This statement suggests dependency and a lack of readiness to take responsibility for self-care.
B. While family support is important, the client should be able to demonstrate some level of independence for discharge readiness.
C. Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge.
D. This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.

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