NUR 521Module 8 Exam Study Guide. University of
Alabama with Complete Solutions
Each chapter has questions that link to the study guide questions and are
on the module quiz.
Supplemental Content (Lehne’s Pharmacology text Chapter 31): Antipsychotics
1. Know the four types of extrapyramidal side effects associated with 1st
generation antipsychotics.
Acute Dystonia Parkinsonism Akathisia Tardive
Dyskinesia
-Facial -Stooped posture -Restlessness -Involuntary
grimacing -Shuffling gait -Trouble standing movement of the
- -Rigidity still tongue, lips,
Involuntar -Bradykinesia -Paces the floor face, trunk,
y upward -Tremors @ rest -Feet in constant extremities
eye -Pill-rolling motion -Facial grimacing,
movemen motion of hand -Rocking back & -sticking out
t forth tongue
-Muscle (sucking/fish-
spasms of like)
tongue, face, -Jerking (chorea)
neck, & back -Chewing motion
-Laryngeal
spasms
Emergency Stop Stop Benzodiazepine
airway offending offending Baclofen
intervention drug medication
Change “dopa” drugs Give beta blocker
medication Clonidine
Bendryal Amantadine
Benzodiazepines
Cyproheptadine
2. Agranulocytosis is associated with which antipsychotic medication? What
and when are the recommended laboratory tests needed to monitor for
this drug-induced disease?
• Clozapine can cause agranulocytosis
• Monitor Absolute neutrophil count (ANC), WBCs
3. What are clinical manifestations of the drug-induced disease of
NUR 521 Module 8 Study Guide
(Chapters 40-42, Lehne’s Chapter 31)
Page 1 of
13
, neuroleptic malignant syndrome?
• Rigidity, sudden high fever, sweating, autonomic instability
• Dysrhythmias, labile blood pressure
• Patient may be confused or mute
• Death may occur from respiratory failure and metabolic
acidosis and the cardiac impact on Q-T interval
NUR 521 Module 8 Study Guide
(Chapters 40-42, Lehne’s Chapter 31)
Page 2 of
13
Alabama with Complete Solutions
Each chapter has questions that link to the study guide questions and are
on the module quiz.
Supplemental Content (Lehne’s Pharmacology text Chapter 31): Antipsychotics
1. Know the four types of extrapyramidal side effects associated with 1st
generation antipsychotics.
Acute Dystonia Parkinsonism Akathisia Tardive
Dyskinesia
-Facial -Stooped posture -Restlessness -Involuntary
grimacing -Shuffling gait -Trouble standing movement of the
- -Rigidity still tongue, lips,
Involuntar -Bradykinesia -Paces the floor face, trunk,
y upward -Tremors @ rest -Feet in constant extremities
eye -Pill-rolling motion -Facial grimacing,
movemen motion of hand -Rocking back & -sticking out
t forth tongue
-Muscle (sucking/fish-
spasms of like)
tongue, face, -Jerking (chorea)
neck, & back -Chewing motion
-Laryngeal
spasms
Emergency Stop Stop Benzodiazepine
airway offending offending Baclofen
intervention drug medication
Change “dopa” drugs Give beta blocker
medication Clonidine
Bendryal Amantadine
Benzodiazepines
Cyproheptadine
2. Agranulocytosis is associated with which antipsychotic medication? What
and when are the recommended laboratory tests needed to monitor for
this drug-induced disease?
• Clozapine can cause agranulocytosis
• Monitor Absolute neutrophil count (ANC), WBCs
3. What are clinical manifestations of the drug-induced disease of
NUR 521 Module 8 Study Guide
(Chapters 40-42, Lehne’s Chapter 31)
Page 1 of
13
, neuroleptic malignant syndrome?
• Rigidity, sudden high fever, sweating, autonomic instability
• Dysrhythmias, labile blood pressure
• Patient may be confused or mute
• Death may occur from respiratory failure and metabolic
acidosis and the cardiac impact on Q-T interval
NUR 521 Module 8 Study Guide
(Chapters 40-42, Lehne’s Chapter 31)
Page 2 of
13
