OMSB_OEN Exam - Topic 3 Question 27 Discussion

Actual exam question for OMSB's OMSB_OEN exam

Question #: 27
Topic #: 3

[All OMSB_OEN Questions]

A client with schizophrenia is placed on chlorpromazine 50 mg PO bid, and Benztropine 2 mg PO bid PRN.

Which of the following nursing assessment findings would indicate a need to administer Benztropine?

AClient is agitated severely

BClient complains of a sore throat

CClient expresses suicidal thoughts

DClient develops muscle spasm and tremors

Show Suggested Answer

Suggested Answer: D

Chlorpromazine is an antipsychotic medication that can cause extrapyramidal symptoms (EPS), such as muscle spasms and tremors. Benztropine is an anticholinergic medication often prescribed to manage these side effects.

If a client on chlorpromazine develops muscle spasms and tremors, it indicates EPS, and administering Benztropine would help alleviate these symptoms. The other options, such as severe agitation, sore throat, or suicidal thoughts, are not directly related to the need for Benztropine.

Stahl, S. M. (2013). Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications. Cambridge University Press.

by Cassie at May 05, 2025, 02:21 AM

Limited Time Offer

25%

Off

Get Premium OMSB_OEN Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Rasheeda

2 months ago

Wait, sore throat? That doesn't seem related at all.

upvoted 0 times

...

Kristine

2 months ago

I think A could also be a reason, but not as clear.

upvoted 0 times

...

Malcom

3 months ago

I agree with D, but I’d also keep an eye on A.

upvoted 0 times

...

Cheryll

3 months ago

Really? I thought Benztropine was just for EPS symptoms.

upvoted 0 times

...

Ivan

3 months ago

Definitely D, muscle spasms and tremors are classic signs!

upvoted 0 times

...

Paulene

3 months ago

I’m a bit confused. Wouldn’t a sore throat be more related to an infection rather than a side effect of the medication?

upvoted 0 times

...

Lacresha

4 months ago

I feel like agitation could be a sign of something else, but I don't think it directly relates to needing Benztropine.

upvoted 0 times

...

Billy

4 months ago

I think I saw a practice question about this. If the client has muscle spasms or tremors, that might mean they need Benztropine, right?

upvoted 0 times

...

Gary

4 months ago

I remember studying that Benztropine is used for extrapyramidal symptoms, but I'm not sure if muscle spasms are the only indicator.

upvoted 0 times

...

Jaime

4 months ago

This is a good test of your knowledge of antipsychotic medications and their side effects. The key is recognizing that Benztropine is used to manage extrapyramidal symptoms like muscle spasms and tremors. So the correct answer is definitely D.

upvoted 0 times

...

Isabelle

4 months ago

Okay, let me break this down. Chlorpromazine is an antipsychotic that can cause movement disorders as a side effect. Benztropine is used to treat those movement issues. So the key is to identify the specific side effect that would prompt the use of Benztropine. I think the answer is D.

upvoted 0 times

...

Lang

5 months ago

Hmm, I'm not totally sure about this one. The client is on chlorpromazine, which can cause a range of side effects. I'll have to think carefully about which one would indicate the need for Benztropine.

upvoted 0 times

...

Deandrea

5 months ago

This is a straightforward question. Benztropine is an anticholinergic medication used to manage extrapyramidal side effects of antipsychotics like chlorpromazine, so the correct answer is D - client develops muscle spasm and tremors.

upvoted 0 times

...

Dorsey

8 months ago

Option D is the way to go. Can't have that client turning into a human vibrator, time for some Benztropine!

upvoted 0 times

...

Nana

8 months ago

Gotta go with D, my dude. If I was that client, I'd be asking for the Benztropine ASAP to stop those pesky muscle issues.

upvoted 0 times

Lynda

7 months ago

D) Client develops muscle spasm and tremors

upvoted 0 times

...

Jarvis

7 months ago

C) Client expresses suicidal thoughts

upvoted 0 times

...

Pansy

8 months ago

B) Client complains of a sore throat

upvoted 0 times

...

Vicki

8 months ago

A) Client is agitated severely

upvoted 0 times

...

Kristian

9 months ago

Oof, D for sure. That client's gonna need some of that Benztropine if they're getting the ol' shakes and twitches.

upvoted 0 times

Lavonda

7 months ago

D for sure. That client's gonna need some of that Benztropine if they're getting the ol' shakes and twitches.

upvoted 0 times

...

Ty

7 months ago

D) Client develops muscle spasm and tremors

upvoted 0 times

...

King

7 months ago

C) Client expresses suicidal thoughts

upvoted 0 times

...

Georgene

7 months ago

B) Client complains of a sore throat

upvoted 0 times

...

Kaitlyn

8 months ago

A) Client is agitated severely

upvoted 0 times

...

Fatima

9 months ago

I don't think so, because agitation is more commonly treated with antipsychotic medications like chlorpromazine.

upvoted 0 times

...

Lavonna

9 months ago

D is the correct answer. Muscle spasms and tremors indicate the need for Benztropine to manage extrapyramidal side effects of the antipsychotic medication.

upvoted 0 times