A patient experiencing an extrapyramidal adverse effect is not able to relax. How would the nurse record this information in the medical record?

Question

1. As dystonia
2. As tardive dyskinesia
3. As akathisia
4. As secondary parkinsonism

Answer 1

3
Rationale 1: Dystonia involves severe muscle spasms, particularly of the back, neck, tongue, and face.
Rationale 2: Tardive dyskinesia is characterized by unusual tongue and face movements such as lip smacking.
Rationale 3: The inability to relax is akathisia.
Rationale 4: Secondary parkinsonism includes tremor, muscle rigidity, stooped posture, and a shuffling gait.
Global Rationale: The inability to relax is akathisia. Dystonia involves severe muscle spasms, particularly of the back, neck, tongue, and face. Tardive dyskinesia is characterized by unusual tongue and face movements such as lip smacking. Secondary parkinsonism includes tremor, muscle rigidity, stooped posture, and a shuffling gait.