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Title: A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 10:30 AM. By noon, ... Post by: joshman171 on Jan 21, 2018 A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 10:30 AM. By noon, the patient has difficulty swallowing and is drooling. By 4:00 PM, vital signs are body temperature, 102.8 F; pulse, 110 beats per minute;
respirations, 26 breaths per minute; and blood pressure, 150/90 mm Hg. The patient is diaphoretic. Select the nurse's best analysis and action. a. Agranulocytosis. Institute reverse isolation. b. Tardive dyskinesia. Withhold the next dose of medication. c. Cholestatic jaundice. Begin a high-protein, high-cholesterol diet. d. Neuroleptic malignant syndrome. Immediately notify the health care provider. Title: A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 10:30 AM. By noon, ... Post by: Niqihsa on Jan 21, 2018 ANS: D
Taking an antipsychotic medication coupled with the presence of extrapyramidal symptoms, such as severe muscle stiffness and difficulty swallowing, hyperpyrexia, and autonomic symptoms (pulse elevation), suggest neuroleptic malignant syndrome, a medical emergency. The symptoms given in this scenario are not consistent with the medical problems listed in the incorrect options. |