The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding constitutes an early sign of deterioration?

A. Benzodiazepines: Benzodiazepines are commonly prescribed for short-term management of anxiety disorders due to their rapid anxiolytic effects.

B. SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are frequently used as first-line treatment for various anxiety disorders due to their efficacy and favorable side effect profile.

C. Tricyclic antidepressants: Tricyclic antidepressants (TCAs) are also used in the treatment of anxiety disorders, although they are less commonly prescribed than SSRIs due to their side effect profile.

D. Calcium channel blockers: Calcium channel blockers are not typically used to treat anxiety disorders. They are mainly used for cardiovascular conditions, such as hypertension and arrhythmias.

A. Monitoring the client for neuroleptic malignant syndrome for up to 2 months after initiating the drug. Neuroleptic malignant syndrome (NMS) is a rare but serious adverse effect of antipsychotic medications. Monitoring for NMS, especially during the first few months of treatment, is crucial.

B. Encouraging the client to report signs of diabetes, such as increased thirst, hunger, and urination. Some antipsychotics, particularly second-generation antipsychotics, are associated with an increased risk of metabolic syndrome, including diabetes. Clients should be educated to report symptoms suggestive of hyperglycemia.

C. Advising the client to report weight gain and skin rashes to the health care provider immediately. Weight gain is a common side effect, particularly with second-generation antipsychotics. Skin rashes could indicate an allergic reaction, including serious conditions like Stevens-Johnson syndrome, requiring immediate medical attention.

D. Using the Abnormal Involuntary Movement Scale (AIMS) to assess for neurologic adverse effects. The AIMS scale is used to assess for tardive dyskinesia and other extrapyramidal symptoms, which are potential adverse effects of antipsychotic medications.

E. Administering the medication subcutaneously when the client is unable to swallow effectively. Antipsychotic medications are generally not administered subcutaneously. If a client cannot swallow, an alternative route such as intramuscular injection or an orally disintegrating tablet might be used.