A Client Diagnosed with Chronic Schizophrenia Presents in an Emergency

question 28

Multiple Choice

A client diagnosed with chronic schizophrenia presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?

• A)Neuroleptic malignant syndrome and treat by discontinuing antipsychotic medications
• B)Agranulocytosis and treat by administration of clozapine (Clozaril)
• C)Extrapyramidal symptoms and treat by administration of benztropine (Cogentin)
• D)Tardive dyskinesia and treat by discontinuing antipsychotic medications

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Definitions:

Zhu Yuanzhong

Also known as Hongwu Emperor, founder of the Ming Dynasty in China, ruling from 1368 to 1398, noted for his successful expelling of the Mongols and significant agricultural, military, and administrative reforms.

Ming Dynasty

A major Chinese dynasty that ruled from 1368 to 1644, known for its trade expansion to the outside world and cultural achievements such as porcelain, literature, and the building of the Great Wall.

Kinship

A social bond based on common ancestry, marriage, or adoption that forms an intricate network of relationships within societies.

Porcelain

Extremely fine, hard, white ceramic. Unlike stoneware, porcelain is made from a fine white clay called kaolin mixed with ground petuntse, a type of feldspar. True porcelain is translucent and rings when struck.