A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?
Shuffling gait
Sudden onset of high fever
Constant tapping of feet when sitting
Twisting tongue movements
The Correct Answer is D
A. A shuffling gait is more commonly associated with parkinsonism, a side effect of antipsychotic medications, rather than tardive dyskinesia.
B. A sudden onset of high fever could indicate neuroleptic malignant syndrome (NMS), which is a serious reaction to antipsychotic medications, not tardive dyskinesia.
C. Constant tapping of feet when sitting can indicate restlessness or akathisia, but it does not specifically represent tardive dyskinesia.
D. Twisting tongue movements are a classic manifestation of tardive dyskinesia, characterized by involuntary, repetitive movements of the face, tongue, and extremities, which may develop after long-term use of antipsychotic medications like fluphenazine.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is A
Explanation
A. Estrogen blockers can increase the risk of thromboembolic events, including deep vein thrombosis and pulmonary embolism, which the nurse should caution the client about.
B. Tendon rupture is more commonly associated with certain antibiotics and corticosteroids, not typically with estrogen blockers.
C. Photosensitivity is not a common side effect associated with estrogen blockers; it is more related to specific antibiotics or other medications.
D. While some malignancies can be linked to immunosuppressive therapies, the direct risk of lymphomas is not typically associated with estrogen blockers.
Correct Answer is B
Explanation
A. Carvedilol is a beta-blocker that is often used in hypertension management but is not considered a first-line treatment.
B. Lisinopril, an ACE inhibitor, is a first-line treatment for hypertension due to its effectiveness and safety profile, making it a common choice for initial therapy.
C. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not typically a first-line treatment due to the risk of side effects like hypotension.
D. Clonidine is a central alpha agonist used in certain situations for hypertension but is not considered a first-line therapy due to potential adverse effects and sedation.