Author Question: The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving ... (Read 46 times)

armygirl · **on:** Jul 19, 2018

The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels nervous and jittery inside.

The nurse is aware that this client most likely is experiencing: a. Akinesia
b. Dystonia
c. Dyskinesia
d. Akathisia

Question 2

A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 48 hours.

When the nurse reports to the ED physician, which client symptom should be the nurse's first priority? 1. Hearing and visual impairment
2. Blood pressure of 180/100 mm Hg
3. Mood rating of 2/10 on numeric scale
4. Dehydration

tdewitt · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Akathisia is one of the extrapyramidal side effects of antipsychotic medications that the nurse must monitor for and report to the physician. Akinesia refers to the absence of mental or physical movement; dystonia refers to rigidity of muscles; and dyskinesia is involuntary abnormal skeletal muscle movement.

Answer to Question 2

2
Rationale: The nurse should recognize that high blood pressure is a symptom of alcohol withdrawal syndrome and should promptly report this finding to the physician. Complications associated with alcohol withdrawal syndrome may progress to alcohol withdrawal delirium in about the second or third day following cessation of prolonged alcohol use.