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Author: Admin | 2025-04-28
He is placed in for extended periods. Akathisia is psychomotor restlessness, often presenting as pacing and an inability to remain at rest.A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has _________ , and the nurse should _________.a. a dystonic reaction...administer PRN IM benztropine (Cogentin)b. tardive dyskinesia...seek a change in the drug or its dosagec. waxy flexibility...continue treatment with antipsychotic drugsd. akathisia...administer PRN diphenhydramine (Benadryl) PO(Ch. 15)CMarked, persistent psychomotor restlessness suggests akathisia, an often distressing and intense form of psychomotor restlessness. Acute dystonic reactions involve painful contractions of the tongue, face, neck, and back. Anxiety often presents as motor restlessness but the inability to remain at rest is seen as frequent changes in position or location. Tardive dyskinesia involves involuntary rhythmic muscular contractions that involve the tongue, fingers, toes, neck, trunk, or pelvis that usually appear after extended treatment and do not respond to antiparkinsonian drugs.A patient moving from chair to chair in the day room and pacing in the hallway repeatedly, rapidly, and for extended periods is likely demonstrating _________ , and the nurse should __________.a. a dystonic reaction...administer PRN IM benztropine (Cogentin)b. anxiety... teach and guide the patient to use relaxation exercisesc. akathisia...administer PRN diphenhydramine (Benadryl)
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