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OMSB_OEN Exam - Topic 6 Question 39 Discussion

Actual exam question for OMSB's OMSB_OEN exam
Question #: 39
Topic #: 6
[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.

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Royal
3 days ago
I think muscle spasms and tremors are signs of extrapyramidal symptoms, so I would lean towards option D for needing Benztropine.
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