A client on the unit suddenly cries out in fear. The nurse notices that the client's head is twisted to one side, his back is arched, and his eyes have rolled back in their sockets
The client has recently begun drug therapy with haloperidol (Haldol). Based on this assessment, the first action of the nurse would be to: A) Get a stat order for a serum drug level.
B) Hold the client's medication until the symptoms subside.
C) Place an urgent call to the client's physician.
D) Give a PRN dose of the anticholinergic benztropine (Cogentin) IM.
D
Feedback: The client is having an acute dystonic reaction; the treatment is anticholinergic medication. Dystonia is most likely to occur in the first week of treatment, in clients younger than 40 years, in males, and in those receiving high-potency drugs such as Haldol. Immediate treatment with anticholinergic drugs usually brings rapid relief.
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