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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Delusional disorder is characterized by the presence of one or more delusions for a month or longer, which could be plausible but are not real. This is not the case here.
Choice B rationale:
Anhedonia refers to the inability to experience pleasure, a common symptom in many mental disorders, including depression. It does not apply to this situation.
Choice C rationale:
Associative looseness, or loose associations, is a thought disorder characterized by speech in which ideas shift from one subject to another that is unrelated or minimally related. The client’s statement is an example of this.
Choice D rationale:
Hallucinations are sensory experiences that occur in the absence of actual stimulation. The client’s statement is not a hallucination, but a disorganized thought process.
Correct Answer is D
Explanation
Choice A rationale:
Continuing to abstain from alcohol is a positive step towards maintaining mental health, not a sign of suicidal ideation.
Choice B rationale:
Finding therapeutic activities like walking around the hospital grounds is a positive coping mechanism, not a sign of suicidal ideation.
Choice C rationale:
Looking forward to future events like seeing grandchildren is a positive sign and not indicative of suicidal ideation.
Choice D rationale:
Giving away possessions, like a pottery collection, can be a sign of suicidal ideation as it may indicate the client is putting their affairs in order.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.