A nurse is caring for a patient who just started on an antipsychotic drug and begins to complain of severe muscle spasms of the tongue, face, and back
Based on these manifestations, which class of drugs should the nurse anticipate that the prescriber will order?
a. Narcotic antagonist
b. Anticholinergic agent
c. Neuroleptic agent
d. Tricyclic agent
ANS: B
The patient shows clear evidence of extrapyramidal symptoms involving acute dystonia, such as severe spasms of the muscles of the tongue, face, neck, and back.
A narcotic antagonist is indicated only for a narcotic overdose.
A neuroleptic agent is not indicated in this situation.
A tricyclic antidepressant is not indicated in this situation.
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