Author Question: A nurse assesses a patient receiving perphenazine (Trilafon), a traditional antipsychotic ... (Read 18 times)

Starlight · **on:** Jul 23, 2018

A nurse assesses a patient receiving perphenazine (Trilafon), a traditional antipsychotic medication.

The nurse notices that the patient is squirming and pacing. When composing his nurse's notes, the nurse would describe his assessment findings by which terminology?
a. Dystonia
b. Central nervous system effects
c. Parkinsonism
d. Akathisia

Question 2

The nurse is providing patient education on quetiapine (Seroquel). The nurse correctly tells the patient that she should be closely monitored for the development of what health condition secondary to the use of quetiapine?

a. Breast cancer
b. Cataracts
c. Hypertension
d. Multiple sclerosis

wfdfwc23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Akathisia is characterized by pacing and squirming brought on by an uncontrollable need to be in motion.
Dystonia is manifested by severe spasms of the muscles of the face, neck, tongue, or back.
Central nervous system effects is a very vague description, because many types of effects can occur; therefore, this would not be appropriate in the nurse's notes.
Parkinsonism is characterized by bradykinesia, a masklike face, drooling, tremor, and rigidity.

Answer to Question 2

ANS: B
Quetiapine may pose a risk for the development of cataracts. The patient's eyes should be examined prior to the initiation of treatment and at least every 6 months during treatment.
Quetiapine is not associated with the development of breast cancer.
Quetiapine is not associated with hypertension; to the contrary, it causes orthostatic hypotension.
Quetiapine is not associated with the development of multiple sclerosis.