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OMSB Exam OMSB_OEN 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?

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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.

Contribute your Thoughts:

Fatima
13 days ago
I don't think so, because agitation is more commonly treated with antipsychotic medications like chlorpromazine.
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Lavonna
15 days ago
D is the correct answer. Muscle spasms and tremors indicate the need for Benztropine to manage extrapyramidal side effects of the antipsychotic medication.
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Stacey
18 days ago
But what about option A) Client is agitated severely? Could that also indicate a need for Benztropine?
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Vallie
29 days ago
I agree, because Benztropine is used to treat extrapyramidal symptoms like muscle spasms and tremors.
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Carma
30 days ago
I think the answer is D) Client develops muscle spasm and tremors.
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