A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Impaired gait

Fidgeting behavior

Muscle contractions of the neck

Fluctuating vital signs

Sexual dysfunction

Answer and Explanation

Correct Answer : A,C

A.   Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B.   Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C.   Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D.   Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E.   Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.

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Correct Answer is A

Explanation

A. Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another.
B. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia.
C. Dressing in all black is not indicative of acute mania and could be a sign of depression.
D. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.

A. Telling his parents that he doesn't want to talk about the attempt B. Planning to give his CD collection to his girlfriend C. Stating that he wants to be with his peers more than with his parents D. Preferring to eat his meals while watching TV

Correct Answer is B

Explanation

A. Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent.
B. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future.
C. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent.
D. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.

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A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

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