A 17-year-old boy is admitted as an inpatient after being diagnosed with Neuroleptic Malignant Syndrome. The nurse recognizes this as a life-threatening neurological disorder and includes which of the following in her plan of care?
1. Ask what antipsychotic medications and dosages the patient is taking at home
2. Assess and monitor the patient's vital signs, including temperature
3. Monitor the patient's creatine phosphokinase levels
4. All of the above.
4
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1. The drug needs to be stopped immediately, and supportive care and relief of symptoms should be provided.
2. Signs and symptoms are summarized by the acronym "FEVER": fever, encephalopathy, vitals unstable, elevated enzymes (CPK), and rigidity of muscles.
3. Signs and symptoms are summarized by the acronym "FEVER": fever, encephalopathy, vitals unstable, elevated enzymes (CPK), and rigidity of muscles. The drug needs to be stopped immediately, and supportive care and relief of symptoms should be provided.
4. Neuroleptic malignant syndrome is a life-threatening disorder most often caused by an adverse reaction to antipsychotic medications. Signs and symptoms are summarized by the acronym "FEVER": fever, encephalopathy, vitals unstable, elevated enzymes (CPK), and rigidity of muscles. The drug needs to be stopped immediately, and supportive care and relief of symptoms should be provided.
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