Difficulty: Medium
Average Score: 69%
Simulated
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)
Correct answer
A,B,C
Rationale
The correct answer is A, B, and C. Tardive dyskinesia is a side effect of long-term use of antipsychotic medications like haloperidol. A: Involuntary pelvic rocking and hip thrusting movements, B: Facial grimacing and eye blinking, C: Tongue thrusting and lip smacking are all classic signs of tardive dyskinesia. These movements are involuntary and repetitive, affecting different parts of the body. In contrast, D: Fine hand tremors and pill rolling are more indicative of Parkinsonism, a different side effect of antipsychotic medications. E: Urinary retention and constipation are not typical signs of tardive dyskinesia.