Author Question: A nurse observes rhythmic, involuntary facial movements in a client who has been receiving ... (Read 46 times)

Starlight · **on:** Jul 23, 2018

A nurse observes rhythmic, involuntary facial movements in a client who has been receiving antipsychotic drugs. The client also makes chewing movements and, at times, his tongue protrudes. The nurse interprets these findings as which of the following?

A) Stevens-Johnson syndrome
B) Neuroleptic malignant syndrome
C) Tardive dyskinesia
D) Extrapyramidal syndrome

Question 2

The nurse is providing care to a client receiving clozapine (Clozaril). The nurse would be alert for an increased risk of bone marrow suppression if the client is also receiving which of the following? Select all that apply.

A) Immunological agents
B) Anticholinergics
C) Opioids
D) Anticoagulants

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

Answer to Question 1

Ans: C
Feedback:
Tardive dyskinesia is characterized by rhythmic, involuntary movements of the tongue, face, mouth, or jaw and sometimes the extremities. The tongue may protrude, and there may be chewing movements, puckering of the mouth, and facial grimacing. Extrapyramidal syndrome (EPS), neuroleptic malignant syndrome (NMS), and Stevens-Johnson syndrome do not cause rhythmic, involuntary facial movements.

Answer to Question 2

Ans: A
Feedback:
The concomitant use of clozapine and immunological drugs can increase the severity of bone marrow suppression. The use of anticholinergics in combination with antipsychotics can increase the risk of tardive dyskinesia and psychotic symptoms. Opioids and anticoagulants are not associated with interactions involving antipsychotic drugs.