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?
Akathisia
Dystonia
Pseudoparkinsonism
Tardive dyskinesia
The Correct Answer is D
A. Akathisia refers to a subjective feeling of restlessness and an objective inability to sit still.
It's characterized by a need to move constantly and is not typically associated with choreiform movements, lip smacking, or spastic facial distortions.
B. Dystonia involves sustained or intermittent muscle contractions leading to abnormal postures or twisting movements. It typically presents with muscle spasms, not choreiform movements or lip smacking.
C. Pseudoparkinsonism refers to a collection of symptoms that resemble Parkinson's disease, such as tremor, bradykinesia, rigidity, and postural instability. It does not typically involve choreiform movements or lip smacking.
D. Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive movements of the face and body, including choreiform movements (rapid, jerky movements), lip smacking, and spastic facial distortions. It often develops after long-term use of antipsychotic medications like chlorpromazine and can persist even after discontinuation of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Alprazolam, a benzodiazepine, typically doesn't cause hypertension. Its primary mechanism of action involves modulation of GABA receptors in the central nervous system, leading to anxiolytic effects rather than effects on blood pressure regulation.
B. There's no documented association between alprazolam use and hearing loss.
Benzodiazepines like alprazolam primarily affect the central nervous system and do not target auditory structures.
C. Sedation is a common side effect of alprazolam due to its CNS depressant properties.
Patients often experience drowsiness, fatigue, and impaired cognitive function, especially when initiating therapy or when doses are increased.
D. Alprazolam typically doesn't cause bradycardia. While it can have mild effects on heart rate, such as tachycardia, significant bradycardia is not a documented adverse effect.
Correct Answer is D
Explanation
A. Rh incompatibility primarily affects erythrocytes, resulting in hemolysis rather than clotting abnormalities. Therefore, transient clotting difficulties are not typically associated with this condition.
B. Rh incompatibility doesn't directly cause hypothermia in newborns. The condition primarily leads to hemolytic disease of the newborn, which can result in jaundice, anemia, and other complications, but not hypothermia.
C. Rh incompatibility leads to an increase in bilirubin levels, causing hyperbilirubinemia rather than hypobilirubinemia. This increase in bilirubin levels can lead to jaundice and potentially severe neurological complications in the newborn.
D. This is a severe complication of Rh incompatibility where the fetus experiences severe edema due to hemolytic anemia and heart failure. It results from the destruction of fetal red blood cells by maternal antibodies against Rh-positive blood cells.
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