A nurse is checking on his patients. He enters the room of a patient who takes an antipsychotic agent. The patient is confused, has a sudden fever, and develops "lead-pipe" rigidity
The nurse recognizes these symptoms as which of the following? a. Tardive dyskinesia
b. Acute dystonia
c. Neuroleptic malignant syndrome
d. Parkinsonism
C
Neuroleptic malignant syndrome is rare but serious. The primary symptoms are "lead-pipe" ri-gidity, sudden high fever, and confusion.
Tardive dyskinesia is manifested by involuntary twisting, writhing, and wormlike movements.
Acute dystonia is manifested by severe spasm of the muscles of the tongue, face, neck, and back. Other manifestations include oculogyric crisis and opisthotonus.
Parkinsonism is manifested by tremors, rigidity, shuffling gait, and a masklike face.
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