A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate)25 mg IM every 2 weeks for 2 years.The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips.On the next clinic visit,the patient's neck and shoulders twist in a slow,snakelike motion.The nurse should suspect the presence of ________ and should __________.

Question

Quizplus · Accepted Answer

Tardive dyskinesia is a neurological condition induced by antipsychotic medications and involves involuntary rhythmic movements of the face,trunk,and limbs,including tongue thrusting,licking,blowing,rocking,and pill-rolling of the fingers.These symptoms usually persist even when the drug is discontinued.The scenario is not consistent with the other disorders mentioned: Agranulocytosis does not involve abnormal movements,the movements in Tourette's syndrome are intermittent (tics)rather than persistent and rhythmic,and anticholinergic effects include dry mouth,blurred vision,constipation,and dry eyes and mucous membranes (which could explain the lip smacking but not the other motor changes).

A Patient Received Maintenance Doses of Fluphenazine Decanoate (Prolixin Decanoate)25