A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?
"I will notify the physician."
"You may have become addicted to this drug."
"This is part of your schizophrenia disease process."
"This is normal while taking this drug and will soon go away."
The Correct Answer is A
A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.
Correct Answer is D
Explanation
A. Hydralazine (Apresoline) is an antihypertensive medication and is not treated with protamine sulfate.
B. Diphenhydramine (Benadryl) is an antihistamine, and protamine sulfate is not used for its overdose.
C. Coumadin (Warfarin) is an anticoagulant, but protamine sulfate specifically reverses heparin, not warfarin.
D. Protamine sulfate is an antidote used to reverse the effects of heparin, a blood thinner.
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