, They combat the extrapyramidal side effects of the neuroleptic drug. - CORRECT
ANSWERS-A nurse is administering medications to clients on a psychiatric unit. What
does the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative
neuroleptic medications?
Torticollis - CORRECT ANSWERS-acute dystonia that involves muscle spasms of the
neck; develops within 1 to 5 days after beginning therapy with a conventional
antipsychotic
Tardive dyskinesia - CORRECT ANSWERS-involuntary repetitious tonic muscular
spasms that involve the face, tongue, lips, limbs, and trunk; takes several months to
years to develop after the start of therapy with a conventional antipsychotic
d/c if observed, may be reversible
Pseudoparkinsonism - CORRECT ANSWERS-extrapyramidal tract response that
includes masklike facies, shuffling gait, pill-rolling tremors, stooped posture, and
drooling; develops within several days to 1 month after the start of therapy with a
conventional antipsychotic
Neuroleptic malignant syndrome - CORRECT ANSWERS-severe, potentially fatal
response to conventional antipsychotics
caused by acute reduction in dopamine activity, precipitating hyperthermia/pyrexia,
tachycardia, tachypnea, unstable blood pressure, dyskinesia, incontinence, decreased
level of consciousness
Clozapine - CORRECT ANSWERS-2nd gen atypical antipsychotic drug that is more
effective than other second-generation antipsychotics
Seizures, sedation, and akathisia are common side effects
contraindicated in clients with bone marrow depression
may cause agranulocytosis, the client's white blood cell (WBC) count should be
monitored weekly. The drug should be discontinued if the count falls below 3,000/mm 3
use with caution in clients with seizures
Isocarboxazid - CORRECT ANSWERS-MAOI
Circulatory collapse is associated with toxicity
fluphenazine - CORRECT ANSWERS-typical antipsychotic
ANSWERS-A nurse is administering medications to clients on a psychiatric unit. What
does the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative
neuroleptic medications?
Torticollis - CORRECT ANSWERS-acute dystonia that involves muscle spasms of the
neck; develops within 1 to 5 days after beginning therapy with a conventional
antipsychotic
Tardive dyskinesia - CORRECT ANSWERS-involuntary repetitious tonic muscular
spasms that involve the face, tongue, lips, limbs, and trunk; takes several months to
years to develop after the start of therapy with a conventional antipsychotic
d/c if observed, may be reversible
Pseudoparkinsonism - CORRECT ANSWERS-extrapyramidal tract response that
includes masklike facies, shuffling gait, pill-rolling tremors, stooped posture, and
drooling; develops within several days to 1 month after the start of therapy with a
conventional antipsychotic
Neuroleptic malignant syndrome - CORRECT ANSWERS-severe, potentially fatal
response to conventional antipsychotics
caused by acute reduction in dopamine activity, precipitating hyperthermia/pyrexia,
tachycardia, tachypnea, unstable blood pressure, dyskinesia, incontinence, decreased
level of consciousness
Clozapine - CORRECT ANSWERS-2nd gen atypical antipsychotic drug that is more
effective than other second-generation antipsychotics
Seizures, sedation, and akathisia are common side effects
contraindicated in clients with bone marrow depression
may cause agranulocytosis, the client's white blood cell (WBC) count should be
monitored weekly. The drug should be discontinued if the count falls below 3,000/mm 3
use with caution in clients with seizures
Isocarboxazid - CORRECT ANSWERS-MAOI
Circulatory collapse is associated with toxicity
fluphenazine - CORRECT ANSWERS-typical antipsychotic
