A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.

Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

Sexual dysfunction.

Muscle spasms of the neck.

Tremors of the hands.

Fidgeting behavior.

Blurred vision.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale:
Sexual dysfunction is not typically associated with extrapyramidal side effects (EPS). EPS are usually characterized by involuntary motor symptoms.
Choice B rationale:
Muscle spasms of the neck, also known as dystonia, are a common symptom of EPS12.
Choice C rationale:
Tremors of the hands can be a sign of EPS, often associated with drug-induced parkinsonism.
Choice D rationale:
Fidgeting behavior, or akathisia, is a common symptom of EPS. It is characterized by a feeling of restlessness and an inability to sit still.
Choice E rationale:
Blurred vision is not typically associated with EPS. It is more likely to be a side effect of the medication itself, not a symptom of EPS12.

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Correct Answer is A

Explanation

Choice A rationale:
Command hallucinations can direct the patient to harm themselves or others, making it the priority to address.
Choice B rationale:
Tactile hallucinations, while distressing, are not typically as immediately dangerous as command hallucinations.
Choice C rationale:
Gustatory hallucinations, while potentially disturbing, do not usually pose an immediate threat.
Choice D rationale:
Visual hallucinations, while potentially distressing, are not typically as immediately dangerous as command hallucinations.

A. "That is very interesting.We are not sure why people start to isolate themselves.”. B. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize.”. C. "Before symptoms of schizophrenia begin, people often isolate themselves.This is an early warning.”. D. "Were you avoiding your friend so that you could hear the voices more clearly?". .

Correct Answer is C

Explanation

Choice A rationale:

While it’s interesting to consider why people isolate themselves, this statement does not provide a clear explanation for the behavior.

Choice B rationale:

Being an introvert or extrovert doesn’t necessarily correlate with the onset of schizophrenia symptoms.

Choice C rationale:

Before symptoms of schizophrenia begin, people often isolate themselves. This is known as the prodromal phase of schizophrenia.

Choice D rationale:

Avoiding friends to hear voices more clearly is not a typical behavior associated with the onset of schizophrenia.

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A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?

Correct Answer is A

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine.

Which of the following findings should the nurse recognize as EPS? (Select all that apply.).