A Patient Received Maintenance Doses of Fluphenazine Decanoate (Prolixin Decanoate)25

A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years.The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips.On the next clinic visit,the patient's neck and shoulders twist in a slow,snakelike motion.The nurse should suspect the presence of ________ and should __________.

A) agranulocytosis…check the patient's complete blood count for changes
B) tardive dyskinesia…administer the Abnormal Involuntary Movement Scale
C) Tourette's syndrome…consult the patient's physician about a neuro evaluation
D) anticholinergic effects…consult the physician about possible medication changes

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