A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?

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Question 1 of 5

A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?

Correct Answer: D

Rationale: Tardive dyskinesia is indicated by lip smacking and teeth grinding in a client on chlorpromazine, a long-term antipsychotic side effect, per psychiatric nursing. Dystonia involves muscle spasms, akathisia is restlessness, and bradykinesia is slowed movement. D requires reporting, potentially adjusting therapy.

Question 2 of 5

The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?

Correct Answer: C

Rationale: Papules, vesicles, and crusts will be present at one time' is correct for chickenpox, per infectious disease teaching. Aspirin risks Reye's syndrome, cortisone isn't standard, and contagion persists post-eruption. C educates accurately on progression.

Question 3 of 5

The nursing care plan for a toddler diagnosed with Kawasaki disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?

Correct Answer: D

Rationale: Coronary artery aneurysms are the high-risk complication in Kawasaki disease. Vasculitis can weaken coronary arteries, per pediatric cardiology. Plaque , embolism , and occlusions are less specific. D drives monitoring and treatment priorities.

Question 4 of 5

A client admits to benzodiazepine dependence for several years. She is now in an outpatient detoxification program. The nurse must understand that a priority during withdrawal is

Correct Answer: A

Rationale: Avoiding alcohol use is a priority during benzodiazepine withdrawal. Alcohol worsens CNS depression, risking seizures, per addiction nursing. Hypotension isn't primary, abrupt stop is dangerous, and symptoms are monitored but secondary. A prevents lethal interactions.

Question 5 of 5

The nurse is caring for a depressed client with a new prescription for a selective serotonin reuptake inhibitor (SSRI) antidepressant. In reviewing the admission history and physical, which of the following should prompt questions about the safety of this medication?

Correct Answer: B

Rationale: Prescribed MAO inhibitor use prompts safety questions with SSRIs. Combining them risks serotonin syndrome, per psychopharmacology. Obesity , vascular disease , and antacids don't contraindicate. B requires immediate clarification.

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