A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.
The nurse notes choreiform movements, lip smacking, and spastic facial distortions.
The nurse should document these findings as indicating which of the following conditions?.
Pseudoparkinsonism.
Tardive dyskinesia.
Akathisia.
Dystonia.
The Correct Answer is B
Choice A rationale:
Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.
Choice B rationale:
Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.
Choice C rationale:
Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.
Choice D rationale:
Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.
So, the correct answer is B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Risperidone can indeed increase triglyceride levels. The nurse should monitor this.
Choice B rationale:
Risperidone is more likely to cause weight gain, not weight loss. This is not a common adverse effect.
Choice C rationale:
Risperidone does not typically elevate blood pressure. This is not a common adverse effect.
Choice D rationale:
Risperidone does not typically decrease blood glucose levels. This is not a common adverse effect.
So, the correct answer is A, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
Choice B rationale:
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
Choice Crationale:
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.
Choice Drationale:
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
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