The nurse is caring for a patient who is being treated with antipsychotic medications. As part of the plan of care, the nurse monitors the patient for dyskinesia. What would the nurse assess with dyskinesia?
Involuntary movements of the mouth and tongue
Abnormal breathing
Migraine headache, hypertension
Severe flushing, headache, and tremors
The Correct Answer is A
A. Involuntary movements of the mouth and tongue: Dyskinesia, particularly tardive dyskinesia, involves involuntary movements, often of the mouth, tongue, and sometimes other parts of the body.
B. Abnormal breathing: This is not a typical manifestation of dyskinesia.
C. Migraine headache, hypertension: These symptoms are not associated with dyskinesia.
D. Severe flushing, headache, and tremors: These symptoms do not describe dyskinesia, although tremors can be seen in other movement disorders.
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Related Questions
Correct Answer is C
Explanation
A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." The acute effects of amphetamines typically last longer than 2 hours, and there's no consistent return of effects after 2 to 3 days.
B. "She will snap out of it in a day or two." This response is not accurate and lacks sensitivity. The effects of an overdose need careful medical monitoring and do not simply "snap out."
C. "Usually in 8 to 10 hours." The acute effects of an amphetamine overdose generally subside within 8 to 10 hours, depending on the amount taken and individual metabolism.
D. "The manifestations may be permanent." While severe complications from an overdose can be long-lasting, the acute effects typically subside within hours, not permanently.
Correct Answer is A
Explanation
A. Pityriasis rosea typically starts with a single, larger "herald patch" followed by a rash with smaller, oval spots. The described pattern is characteristic of this condition.
B. Herpes zoster virus or shingles, usually presents with vesicular lesions in a dermatomal distribution, rather than scattered oval spots.
C. Herpes simplex type 1 generally causes oral lesions or cold sores, not the body rash described.
D. Impetigo contagiosa is a bacterial infection that typically causes honey-colored crusted sores and is not described as having a herald patch or oval spots.
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