Discuss OMSB OMSB_OEN Exam Topic 6 Question 39

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

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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21 comments · newest first

Edda 1 month ago

True, but agitation isn't the same as EPS. D is clear.

Pearlene 1 month ago

I feel like they might confuse agitation with needing Benztropine.

Lura 1 month ago

Definitely D. We need to watch for those side effects.

Walton 2 months ago

A sore throat isn't related, so B is out.

Gail 2 months ago

Agreed, D makes sense. Benztropine helps with those symptoms.

Lajuana 2 months ago

I think D is the right answer. Muscle spasms indicate EPS.

Annice 2 months ago

Right, D is the best choice. We should prioritize EPS symptoms.

Brianne 2 months ago

I feel like C is too serious for Benztropine. It’s not for suicidal thoughts.

Telma 2 months ago

Definitely D. We need to watch for those side effects closely.

Heike 3 months ago

A sore throat? That’s not related. So B is out.

Theola 3 months ago

Agreed, D makes sense. Benztropine helps with those symptoms.

Leatha 3 months ago

I think D is the right answer. Muscle spasms indicate EPS.

Kimbery 3 months ago

I thought Benztropine was only for movement issues, not agitation.

Anglea 3 months ago

Suicidal thoughts are serious, but not for Benztropine.

Joesph 4 months ago

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

Fletcher 5 months ago

I agree, that's a classic sign of EPS.

Maryln 5 months ago

Muscle spasms and tremors definitely need Benztropine.

Lavonna 6 months ago

I recall that Benztropine is often given for acute dystonic reactions, which could be linked to muscle spasms. So, I think D is definitely the right choice here.

Antonio 6 months ago

I practiced a similar question where we had to identify side effects of antipsychotics. I feel like option D makes the most sense, but I’m a bit unsure about the other options.

Eun 6 months ago

I'm not entirely sure, but I remember something about Benztropine being used for movement disorders. Could it be related to option D?

Royal 6 months ago

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

OMSB_OEN Exam - Topic 6 Question 39 Discussion