An older female patient with psychosis has been taking haloperidol (Haldol) for 1 week. The patient has been making wormlike movements with her tongue. How would the nurse evaluate this finding?
1. An adverse effect likely caused by the medication, known as tardive dyskinesia
2. A normal reaction to the medication that will likely go away in a week or two
3. A desired sign that the patient has not been taking the medication
4. A sign of the patient's underlying psychosis, indicating that the medication is not effective
1
Rationale 1: Older female patients on Haldol have a higher incidence of tardive dyskinesia (an adverse effect). Tardive dyskinesia is characterized by wormlike movements of the tongue.
Rationale 2: This reaction is common but will not go away in a week or two.
Rationale 3: While this effect does indicate the patient is taking the medication, it is not desirable.
Rationale 4: This is not an effect of the underlying disease.
Global Rationale: Older female patients on Haldol have a higher incidence of tardive dyskinesia (an adverse effect). Tardive dyskinesia is characterized by wormlike movements of the tongue. This reaction is common but will not go away in a week or two. While this effect does indicate the patient is taking the medication, it is not desirable. This is not an effect of the underlying disease.
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