A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?
Impaired ability to regulate body temperature
Extrapyramidal symptoms
Neuroleptic malignant syndrome
Tardive dyskinesia
The Correct Answer is D
D. Tardive dyskinesia (TD) is a side effect of long-term use of first-generation antipsychotic medications, such as those commonly used to treat schizophrenia. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and other parts of the body.
A. Impaired ability to regulate body temperature is more commonly associated with conditions such as heatstroke or certain neurological disorders affecting the hypothalamus, and it typically presents with symptoms such as fever or hypothermia.
B. Extrapyramidal symptoms encompass a range of movement disorders caused by dysfunction of the extrapyramidal system, which includes the basal ganglia.
C. Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic medications, characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.
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Related Questions
Correct Answer is C
Explanation
C. Stalking involves persistent and unwanted attention or behavior directed towards a specific individual, causing fear, distress, or concern for their safety. Stalking behaviors may include following the victim, surveillance, unwanted communication (such as letters, emails, or messages), vandalism, or leaving gifts or items at the victim's location
A. Bullying involves aggressive behavior or intentional harm directed toward another person, typically in a repeated or habitual manner.
B. Abandonment refers to the act of deserting or leaving someone or something behind, often without adequate support or care.
D. Assault involves the intentional infliction of physical harm or injury on another person, or the threat of such harm, causing fear or apprehension of imminent harm.
Correct Answer is D
Explanation
A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.
B. Limiting fluid intake is not typically a specific concern associated with clozapine.
C. Clozapine is not known to have significant interactions with tyramine-rich foods
D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.
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