Four hours after receiving risperidone (Risperdal), the patient on the psychiatric unit has a temperature elevation of 2? F. What is the nurse's best action?
a. Administer the next dose of the drug as prescribed.
b. Assess the patient for other signs and symptoms of infection.
c. Hold the next drug dose and notify the prescriber immediately.
d. Attempt to arouse the patient from sleep by gently shaking his or her arm.
C
A rapid temperature elevation is often the first sign of an adverse reaction called neuroleptic ma-lignant syndrome. This reaction involves the autonomic nervous system and is potentially life threatening. Until the cause of the temperature elevation is identified, further drug dosages should be withheld.
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