KVV E-Modules

1. Which of the following is an example of acute dystonia?

A: A. Lip smacking B: B. Muscle spasms causing neck twisting (torticollis) C: C. Restlessness and pacing D: D. Slow movements and rigidity

1. A patient on antipsychotics develops sudden neck muscle spasms and eye rolling. What should the nurse do first?

A: A. Document and observe B: B. Administer prescribed anticholinergic medication (e.g., benztropine) C: C. Call for a psychiatrist to change the medication later D: D. Restrain the patient

2. Which symptom would the nurse identify as akathisia?

A: A. Facial grimacing and lip-smacking B: B. Restlessness and inability to sit still C: C. Muscle rigidity and slow movement D: D. Sudden jerky movements

3. When caring for a patient with drug-induced parkinsonism, which nursing intervention is most appropriate?

A: A. Encourage frequent ambulation to reduce rigidity B: B. Avoid giving any medications C: C. Promote fluid restriction D: D. Limit communication to reduce anxiety

6. Which of the following is most effective in treating akathisia?

A: A. Risperidone B: B. Valproic acid C: C. Propranolol D: D. Diphenhydramine

. Which EPS can appear after long-term use of antipsychotics?

A: A. Acute dystonia B: B. Parkinsonism C: C. Akathisia D: D. Tardive dyskinesia

8. Which antipsychotic is least likely to cause EPS?

A: A. Haloperidol B: B. Chlorpromazine C: C. Clozapine D: D. Fluphenazine

. Which vital sign change should the nurse monitor closely in a patient receiving antipsychotics who develops EPS?

A: A. Hypertension due to muscle rigidity B: B. Tachycardia associated with akathisia C: C. Bradycardia from drug toxicity D: D. Hypothermia due to inactivity

. When monitoring a patient for EPS, the nurse should prioritize assessment of:

A: A. Skin turgor and hydration status B: B. Gait, tremors, and muscle rigidity C: C. Pupillary response and vision changes D: D. Hearing acuity and balance

. Which nursing diagnosis best fits a patient with akathisia?

A: A. Risk for injury related to impaired balance B: B. Acute pain related to muscle spasms C: C. Impaired physical mobility related to rigidity D: D. Disturbed sensory perception related to inner restlessness