A client admitted with delusions, hallucinations, and thought ...

[magmichele12]

A client admitted with delusions, hallucinations, and thought disorder has the admitting diagno-sis schizophreniform disorder R/O organic pathology. Based on this information, the nurse can expect that the client will:
 
  1. Undergo an MRI test
  2. Have psychological testing
  3. Have an immunologic assay performed
  4. Participate in a dexamethasone suppression test

Question 2

A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions.
 
  The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:
  1. Development of pseudoparkinsonism
  2. Development of dystonic reactions
  3. Improvement in tardive dyskinesia
  4. Worsening of anticholinergic symptoms

[tandmlomax84]

Answer to Question 1

ANS: 1
The MRI will reveal structural changes in the brain that might be responsible for symptoms of psychosis (e.g., abscess, tumor). 2. Psychologic testing may be performed but will be less defini-tive in ruling out organic pathology. 3. Immunologic studies are not indicated. 4. The DST is re-lated to depression.

Answer to Question 2

ANS: 3
Atypical antipsychotics have been noted to block oral dyskinesia and improve tardive dyskinesia as well as improve both positive and negative symptoms of schizophrenia. Options 1 and 2 are associated with typical antipsychotic medication. Option 4: Anticholinergic symptoms are not intense with use of atypical antipsychotic medication.