Tuesday, June 1, 2010

question of the week

Question of the week for 06.01.10

A client has received the first dose of fluphenazine (Prolixin) two hours ago. The client suddenly experiences torticollis and involuntary spastic muscle movement. In addition to administering the ordered anticholinergic drug, what other action should a nurse implement?

1. Have respiratory support equipment available
2. Immediately place the client in a seclusion room
3. Assess the client for anxiety and agitation
4. Administer prn dose of an IM antipsychotic medication

1 comment:

a.ha said...

The correct answer is: Have respiratory support equipment available

Reference:
Smeltzer, S.C., Bare, B.G., Hinkle, J., & Cheever, K.H.
Brunner-Suddarth's textbook of medical surgical nursing (11th ed.).(2008). Philadelphia: Lippincott Williams & Wilkins.