A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is pacing around the room. The nurse caring for this patient will perform which action?
a. Contact the provider to discuss changing to benztropine (Cogentin).
b. Notify the provider of these symptoms and request an order for lorazepam (Ativan).
c. Question the patient about adherence to the drug regimen.
d. Recognize these signs of a serious adverse drug reaction and notify the provider.
ANS: B
The patient is exhibiting signs of akathisia and should be treated with an antianxiety drug. Benztropine is an anticholinergic used to combat acute dystonia side effects. These are not signs of psychosis, so it is not necessary to question whether or not the patient is taking the medication. These side effects are not as serious as those with tardive dyskinesia.
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