The nurse is conducting an assessment for Don, a 5-year veteran with a traumatic brain injury (TBI). He was referred to the clinic for evaluation of movement disorders
He reports taking alprazolam (Xanax) for the last 3 months and wonders if that is contributing to his tremors and shuffling gait. Which of these understandings is most important in guiding the nurse's further assessment and response to Don?
A. Alprazolam (Xanax) has a high risk potential for extrapyramidal side effects.
B. Don's symptoms are likely related to alprazolam (Xanax) addiction.
C. There is an associated risk for Parkinson's disease in patients with TBI.
D. Don's symptoms are most likely symptoms of PTSD.
ANS: C
There is an association between TBI and the development of Parkinson's disease. Antipsychotic agents rather than antianxiety agents have a higher risk for extrapyramidal symptoms. Although Don's tremors could signal drug withdrawal, the concurrent shuffling gait suggests a movement disturbance. Finally, movement disturbances are not a symptom of PTSD.
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