Author Question: A client is receiving antipsychotic therapy. As part of the client's plan of care, the nurse ... (Read 37 times)

tatyanajohnson · **on:** Jul 23, 2018

A client is receiving antipsychotic therapy. As part of the client's plan of care, the nurse assesses the client for possible adverse reactions.

Which of the following would lead the nurse to suspect that the client is experiencing extrapyramidal effects? Select all that apply.

A) Mask-like facial appearance
B) Increased motor activity
C) Facial grimacing
D) Delusions
E) Flat affect

Question 2

The caregiver of a client who is started on antipsychotic drug therapy asks the nurse when the client's symptoms will improve. Which response by the nurse would be most appropriate?

A) You should notice an improvement in the next day or two.
B) It might take about 6 weeks or so before the drug is most effective.
C) There's no way to tell but usually it takes about a week.
D) Look for movements of his face, mouth, or jaw and that's the sign.

aadams68 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, B, C
Feedback:
Manifestations of extrapyramidal syndrome include Parkinson-like symptomsfine tremors, muscle rigidity, mask-like appearance of the face, slowness of movement, slurred speech, and unsteady gait; akathisiaextreme restlessness and increased motor activity; and dystoniafacial grimacing and twisting of the neck into unnatural positions. Delusions and flat affect are manifestations associated with schizophrenia.

Answer to Question 2

Ans: B
Feedback:
Antipsychotics take time to produce the optimal effect, sometimes 6 to 10 weeks. Evidence of tongue, facial, or mouth movements suggest tardive dyskinesia, a late-appearing reaction that requires discontinuation of the drug.