Nokea
When describing tardive dyskinesia (TD) associated with the use of antipsychotic medication, which of the following would the nurse integrate into the teaching plan? Select all that apply.
- A. TD is an early-appearing adverse reaction.
- B. TD involves rhythmic, involuntary movements of the facial structures.
- C. TD is a reversible adverse effect of antipsychotic drugs.
- D. TD is less likely to occur with the use of atypical psychotics.
- E. TD can occur after discontinuation of antipsychotic drug therapy.
Correct Answer: B,D,E
Rationale: TD is a late-appearing reaction that is characterized by rhythmic, involuntary movements of the tongue, face, mouth, or jaw and sometimes the extremities, TD is nonreversible, can occur during antipsychotic drug therapy or after discontinuation, and is less likely to occur with the use of atypical antipsychotics.
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When administering antipsychotic drugs, the nurse would need to keep in mind that which of the following atypical antipsychotics are most commonly associated with weight gain? Select all that apply.
- A. Olanzapine (Zyprexa)
- B. Rispendone (Risperdal)
- C. Ziprasidone (Geodon)
- D. Quetiapine (Seroquel)
- E. Clozapine (Clozaril)
Correct Answer: A,B
Rationale: Olanzapine (Zyprexa) and risperidone (Risperdal) are atypical antipsychotics that are most commonly associated with weight gain. None of the other drugs are associated with weight gain.
A nurse is required to administer an antipsychotic agent parenterally. After administering the drug, the nurse would ensure that the client remains lying down for which time frame?
- A. 15 minutes
- B. 30 minutes
- C. 45 minutes
- D. 60 minutes
Correct Answer: B
Rationale: After administering an antipsychotic agent parenterally, the nurse would ensure that the client remains lying down for about 30 minutes.
A nurse would assess a client treated with an antipsychotic medication for which of the following behaviors if the antipsychotic medication was stopped? Select all that apply.
- A. Hallucinations
- B. Anhedonia
- C. Delusions
- D. Dystonia
- E. Flattened affect
Correct Answer: A,B,C,E
Rationale: Antipsychotic medications help control symptoms associated with psychotic disorders such as hallucinations, delusions, disorganized speech, behavior disturbances, social withdrawal, flattened affect, and anhedonia. Dystonia would be noted as an adverse reaction with antipsychotic drugs.
A client with schizophrenia is prescribed antipsychotic therapy. When developing the plan of care for the client, the nurse integrates understanding that the client is at risk for extrapyramidal syndrome. The nurse would expect to assess the client for this adverse reaction at which time?
- A. Once a week
- B. At the initiation of therapy
- C. When the dose is reduced
- D. Every 3 months
- E. When the dose is increased
Correct Answer: B,C,E
Rationale: The nurse should assess for EPS during initial therapy and whenever the dosage is increased or decreased.
A nurse should be able to differentiate between the typical and atypical antipsychotics. Which of the following would the nurse identify as an atypical antipsychotic? Select all that apply.
- A. Lithium (Eskalith)
- B. Aripiprazole (Abilify)
- C. Chlorpromazine (Thorazine)
- D. Prochlorperazine (Compazine)
- E. Clozapine (Clozaril)
Correct Answer: B,E
Rationale: Aripiprazole (Abilify) and clozapine (Clozaril) are classified as atypical antipsychotics.