Psychotic Disorders no. 4039
QUESTION: A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction?
✓O a.) Dystonia
✘O b.) Akinesia
✘O c.) Akathisia
✘O d.) Tardive dyskinesia
RATIONALERATIONALE: Dystonia, a common extrapyramidal reaction to fluphenazine decanoate, manifests as muscle spasms in the tongue, face, neck, back, and sometimes the legs. Akinesia refers to decreased or absent movement; akathisia, to restlessness or inability to sit still; and tardive dyskinesia, to abnormal muscle movements, particularly around the mouth.NURSING PROCESS STEP: AssessmentCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapiesCOGNITIVE LEVEL: Knowledge
