A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 10:30 AM. By noon, the patient is diaphoretic, drooling, and has difficulty swallowing. 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. 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, low fat diet.
D) Neuroleptic malignant syndrome. Immediately notify the health care provider.

Question

`Aeshah Mohd Ali - Dr. · Accepted Answer

Final Answer : D, Explanation :  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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