A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the extrapyramidal effects
associated with this type of medication and anticipates that the drug will be discontinued if which
occurs?
...
A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the extrapyramidal effects
associated with this type of medication and anticipates that the drug will be discontinued if which
occurs?
1
Akathisia
Correct2
Tardive dyskinesia
3
Parkinsonian syndrome
4
Acute dystonic reaction
Tardive dyskinesia is characterized by protrusion and vermicular movements of the tongue, chewing and
puckering movements of the mouth, and a puffing of the cheeks. These adverse effects may or may not
be reversible when the antipsychotic medication is withdrawn. Motor restlessness (akathisia),
parkinsonian symptoms, or an acute dystonic reaction can be treated with an antiparkinsonian or
anticholinergic drug while the antipsychotic medication is continued.
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2.
The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia.
On what basis would the primary healthcare provider choose the drug?
1
Symptoms
Correct2
Side effects
3
Therapeutic effects4
Underlying pathology
First-generation antipsychotic drugs are also known as neuroleptics. The selection of these drugs is
primarily based on side effects rather than therapeutic effects. Because all symptoms respond equally to
antipsychotic drugs, the drug selection may not be based on symptoms. Because these drugs do not
alter the underlying pathology, the selection may not be based on underlying pathology.
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