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A nurse is monitoring a client who is taking chlorpromazine. Which finding should the nurse prioritize as the highest concern? Options: A) Dry mouth and constipation B) Drowsiness and sedation C) Muscle stiffness and restlessness D) Increased appetite and weight gain

User RonaDona
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Step-by-step explanation:

When monitoring a client taking chlorpromazine, the finding that the nurse should prioritize as the highest concern is:

C) Muscle stiffness and restlessness

Muscle stiffness and restlessness are symptoms associated with a potential extrapyramidal side effect called acute dystonia. Acute dystonia is an adverse reaction to antipsychotic medications like chlorpromazine, and it can manifest as sustained muscle contractions, abnormal postures, or repetitive movements. It can be uncomfortable, distressing, and potentially harmful to the client. Immediate medical attention is necessary to address this side effect.

Option A, dry mouth, and constipation are common anticholinergic side effects of chlorpromazine that are usually manageable and less urgent compared to acute dystonia.

Option B, drowsiness, and sedation are expected side effects of chlorpromazine and may require monitoring, especially when the client is starting the medication or if the dose is being adjusted. While they can impact the client's daily activities, they are generally less concerning than acute dystonia.

Option D, increased appetite, and weight gain are potential side effects of chlorpromazine, but they are not typically considered urgent or prioritized as the highest concern.

In summary, the nurse should prioritize muscle stiffness and restlessness (option C) as the highest concern when monitoring a client taking chlorpromazine due to the possibility of acute dystonia.

User Rohit Gupta
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