A 62-year-old woman has been taking chlorpromazine (Thorazine) since she was in her early 20s. Which of the following assessment findings would signal the nurse to the possible presence of tardive dyskinesia (TD)?
A) The client begins alluding to visual hallucinations for the first time in several years.
B) The client frequently smacks her lips and chews without food.
C) The client develops exophthalmos (bulging eyes).
D) The client begins repeating nonsensical words while at rest.
Ans: B
Feedback:
TD is a type of EPS characterized by abnormal, involuntary, irregular, choreoathetoid (writhing) movements, which may include lip smacking, neck twisting, facial grimacing, and chewing without food. The other listed assessment findings are not suggestive of TD.
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