A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions
The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:
1. Development of pseudoparkinsonism
2. Development of dystonic reactions
3. Improvement in tardive dyskinesia
4. Worsening of anticholinergic symptoms
ANS: 3
Atypical antipsychotics have been noted to block oral dyskinesia and improve tardive dyskinesia as well as improve both positive and negative symptoms of schizophrenia. Options 1 and 2 are associated with typical antipsychotic medication. Option 4: Anticholinergic symptoms are not intense with use of atypical antipsychotic medication.
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