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.)
Impaired gait
Fidgeting behavior
Muscle contractions of the neck
Fluctuating vital signs
Sexual dysfunction
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 D
Explanation
A. Seclusion is not generally recommended for mania unless necessary for safety; it may increase feelings of isolation.
B. Group activities are often not recommended for clients in the manic phase, as they may become overstimulated and disruptive.
C. A stimulating environment may increase hyperactivity and agitation.
D. Short rest periods are recommended for clients in a manic state to help manage their energy levels and prevent exhaustion.
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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