Author Question: A patient experiencing an extrapyramidal adverse effect is not able to relax. How would the nurse ... (Read 223 times)

newyorker26 · **on:** Jul 23, 2018

A patient experiencing an extrapyramidal adverse effect is not able to relax. How would the nurse record this information in the medical record?

1. As dystonia
2. As tardive dyskinesia
3. As akathisia
4. As secondary parkinsonism

Question 2

The nurse is managing care for a group of patients receiving antidysrhythmic medication. Which assessment data will the nurse discuss with the prescriber as adverse effects of these medications?

1. Depression, irritability, fatigue, and nausea
2. Anorexia, insomnia, confusion, and 2+ pitting peripheral edema
3. Low-grade fever, diaphoresis, weakness, and dry mucous membranes
4. Palpitations, chest pain, weakness, and fatigue

britb2u · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale 1: Dystonia involves severe muscle spasms, particularly of the back, neck, tongue, and face.
Rationale 2: Tardive dyskinesia is characterized by unusual tongue and face movements such as lip smacking.
Rationale 3: The inability to relax is akathisia.
Rationale 4: Secondary parkinsonism includes tremor, muscle rigidity, stooped posture, and a shuffling gait.
Global Rationale: The inability to relax is akathisia. Dystonia involves severe muscle spasms, particularly of the back, neck, tongue, and face. Tardive dyskinesia is characterized by unusual tongue and face movements such as lip smacking. Secondary parkinsonism includes tremor, muscle rigidity, stooped posture, and a shuffling gait.

Answer to Question 2

4
Rationale 1: Depression, irritability, fatigue, and nausea are not side effects of antidysrhythmic medications.
Rationale 2: Anorexia, insomnia, confusion, and 2+ pitting peripheral edema are not side effects of antidysrhythmic medications.
Rationale 3: Low-grade fever, diaphoresis, weakness, and dry mucous membranes are not side effects of antidysrhythmic medications.
Rationale 4: Side effects of antidysrhythmic medications include palpitations, chest pain, weakness, and fatigue.
Global Rationale: Side effects of antidysrhythmic medications include palpitations, chest pain, weakness, and fatigue. Low-grade fever, diaphoresis, weakness, and dry mucous membranes are not side effects of antidysrhythmic medications. Anorexia, insomnia, confusion, and 2+ pitting peripheral edema are not side effects of antidysrhythmic medications. Depression, irritability, fatigue, and nausea are not side effects of antidysrhythmic medications.