NCLEX-PN

Category - Pharmacological Therapies

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A nurse is assigned to care for a client with schizophrenia who is prescribed chlorpromazine hydrochloride (Thorazine). One evening, the nurse finds the client demonstrating facial grimacing and involuntary eye movements. The client’s neck appears twisted. The nurse expects the physician to order:

Seizure precautions
Increased dose of chlorpromazine
Administration of diphenhydramine (Benadryl)
Administration of chemical restraints

Explanation

Answer: C - The client is demonstrating signs of dystonia, an adverse reaction to antipsychotics. The nurse should expect the physician to order the administration of diphenhydramine or another medication to reverse the condition. The other options are not appropriate.

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