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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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joshman171 joshman171
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6 years ago
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.
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#1
6 years ago
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.
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