During a psychiatric emergency, IM chlorpromazine (Thorazine) is administered to an assaultive client. During the next 2 hours, it is of primary importance that the nurse structure client assess-ment to identify:
1. Pseudoparkinsonism
2. Anticholinergic effects
3. Orthostatic hypotension
4. Tardive dyskinesia
ANS: 3
The side effect most likely to appear is orthostatic hypotension related to alpha1 receptor block-ade preventing peripheral blood vessels from automatically responding to positional change. Op-tions 1 and 4 are less likely to occur at this point in therapy. Option 2 is of lesser concern.
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