The nurse is concerned that a client taking an antipsychotic medication is experiencing extrapyramidal side effects. For which effects should the nurse notify the health care provider?
1. Complaints of slight drowsiness
2. Urinary hesitancy
3. Muscular spasms of the head and neck
4. Dry mouth
Correct Answer: 3
Rationale 1: Complaints of drowsiness are common with many medications.
Rationale 2: Urinary hesitancy is a common anticholinergic adverse affect.
Rationale 3: Adverse extrapyramidal symptoms include jerking motions; muscular spasms of the head, face, and neck; and akathisia. They can cause nerve damage if allowed to continue.
Rationale 4: Dry mouth is a common anticholinergic adverse effect treated by sucking on hard candy and increasing fluid intake.
Global Rationale: Adverse extrapyramidal symptoms include jerking motions; muscular spasms of the head, face, and neck; and akathisia. They can cause nerve damage if allowed to continue. Complaints of drowsiness are common with many medications. Urinary hesitancy is a common anticholinergic adverse affect. Dry mouth is a common anticholinergic adverse effect treated by sucking on hard candy and increasing fluid intake.
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