The patient has been receiving chlorpromazine (Thorazine) for the ...

[EAugust]

The patient has been receiving chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse assesses that the patient has tardive dyskinesia. What describes the result of the nurse's assessment?
 
  1. Tremor, muscle rigidity, and a shuffling gait
  2. Severe muscle spasms of the back, neck, and tongue
  3. An inability to rest or relax, and restlessness
  4. Unusual facial movements and lip smacking

Question 2

The physician has prescribed haloperidol (Haldol) for the patient with schizophrenia. What is the priority patient outcome?
 
  1. The patient will consume adequate fluids and a high-fiber diet.
  2. The patient will be compliant with taking the medication as prescribed.
  3. The patient will report a decrease in auditory hallucinations.
  4. The patient will report symptoms of restlessness.

[robbielu01]

Answer to Question 1

Correct Answer: 4
Rationale: Tardive dyskinesia is characterized by unusual tongue and face movements such as lip smacking, and wormlike motions of the tongue. Severe muscle spasms of the back, neck, and tongue are known as acute dystonia, not tardive dyskinesia. An inability to rest or relax, and restlessness are known as akathisia, not tardive dyskinesia. Tremor, muscle rigidity, and a shuffling gait are known as Parkinsonism, not tardive dyskinesia.

Answer to Question 2

Correct Answer: 2
Rationale: Medication compliance is a priority for patients with schizophrenia. Relapse of symptoms will occur without the medications. The symptom of restlessness is known as akathisia. This would be important to report, but is not the priority outcome. Adequate fluids and fiber will decrease the side effect of constipation, but this is not the priority outcome. A decrease in auditory hallucinations is an expected effect of haloperidol (Haldol), but this is not the priority outcome.

[EAugust]

Excellent

[sailorcrescent]

Gracias!