This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is assessing a young adult patient with schizophrenia who recently began taking ... (Read 420 times)

HudsonKB16

  • Hero Member
  • *****
  • Posts: 535
on: Jul 23, 2018
The nurse is assessing a young adult patient with schizophrenia who recently began taking fluphenazine (Prolixin). The patient is exhibiting spasms of facial muscles along with grimacing, and the nurse notes upward eye movements.
 
  The nurse suspects which side effect?
  a. Acute dystonia
  b. Akathisia
  c. Pseudoparkinsonism
  d. Tardive dyskinesia

Question 2

A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is pacing around the room. The nurse caring for this patient will perform which action?
 
  a. Contact the provider to discuss changing to benztropine (Cogentin).
  b. Notify the provider of these symptoms and request an order for lorazepam (Ativan).
  c. Question the patient about adherence to the drug regimen.
  d. Recognize these signs of a serious adverse drug reaction and notify the provider.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

djpooyouma

  • Sr. Member
  • ****
  • Posts: 325
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Acute dystonia can occur within days of taking typical antipsychotics, and facial muscle spasms, grimacing, and upward eye movements are characteristic of this side effect. Akathisia is characterized by restlessness, pacing, and difficulty standing still. Pseudoparkinsonism is characterized by stooped posture, pill-rolling, shuffling gait, and tremors at rest. Tardive dyskinesia manifests as protrusion and rolling of the tongue, smacking of the lips, and involuntary movement of the body and extremities.

Answer to Question 2

ANS: B
The patient is exhibiting signs of akathisia and should be treated with an antianxiety drug. Benztropine is an anticholinergic used to combat acute dystonia side effects. These are not signs of psychosis, so it is not necessary to question whether or not the patient is taking the medication. These side effects are not as serious as those with tardive dyskinesia.


HudsonKB16

  • Hero Member
  • *****
  • Posts: 535
Reply #2 on: Jul 23, 2018
Thank you!


djpooyouma

  • Sr. Member
  • ****
  • Posts: 325
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Neurobiology of Schizophrenia Neurobiology of Schizophrenia
Assessing for pit edema Assessing for pit edema
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
Structural MRIs reveal cortical loss in adolescent patients with schizophrenia. Here dark blue ... Structural MRIs reveal cortical loss in adolescent patients with schizophrenia. Here dark blue ...
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Medical Gymnasts Assist Patient in Performing Movements, 1909. Medical Gymnasts Assist Patient in Performing Movements, 1909.
Video: ETC Protein Complexes & Chemiosmosis (Total ATP Production and ATP Synthase)

For a complete list of videos, visit our video library