Extrapyramidal symptoms are a side effect of perphenazine (Trilafon). The nurse should assess and observe for which sign of akathisia?
a. Restlessness and constant moving about
b. Facial grimacing
c. Chewing motion
d. Involuntary eye movement
ANS: A
Akathisia is described as restless, agitated movement.
You might also like to view...
The nurse is working with clients who have esophageal disorders. The nurse should assess the clients for which manifestations? (Select all that apply.)
a. Aphasia b. Dysphagia c. Eructation d. Halitosis e. Weight gain
A client who has myasthenia gravis (MG) exhibits increased muscle weakness, difficulty swallowing, and respiratory distress. Cholinergic crisis is diagnosed and is medically treated by:
a. administrating atropine b. conducting a Tensilon test c. providing oxygen by a mask d. performing a tracheotomy
Three RNs are working in a busy ER when six patients enter at the same time. Which three patients will the RNs see first? Select all that apply
a. A client with head trauma from a car accident who is unconscious b. A child with a small laceration on the knee resulting from a fall c. A client who has been stabbed and is bleeding profusely d. A child experiencing a severe asthma attack e. A client limping on a very swollen bruised ankle f. An infant with a rash on the abdomen and extremities
A nurse is preparing to turn a 65-year-old hospitalized patient. Which of the following is a recommended guideline for performing this skill?
A) Position a nurse at the top and bottom of the bed. B) Place the bed in its lowest position. C) Position a friction-reducing sheet under the patient. D) Use back muscles to pull the patient to the side.