A client receiving risperidone (Risperdal) reports severe muscle stiffness mid-morning. During
lunch he has difficulty swallowing food and is noted to drool.
When vital signs are taken at 4 PM he
is noted to be diaphoretic, with a temperature elevation of 38.4° C, pulse of 110 beats/min, and
blood pressure of 150/90 mm Hg. The nurse should suspect
a. agranulocytosis and institute reverse isolation.
b. cholestatic jaundice and begin a high-protein, high-cholesterol diet.
c. tardive dyskinesia and withhold the next dose of medication.
d. neuroleptic malignant syndrome and notify physician stat.
D
Taking an antipsychotic medication coupled with the presence of extrapyramidal symptoms such
severe muscle stiffness and difficulty swallowing, hyperpyrexia, and autonomic symptoms (pulse
elevation) suggest neuroleptic malignant syndrome, a medical emergency. The symptoms given in
the scenario are not consistent with the medical problems listed in options A, B, or C.
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During the relaxation response, the ____________________ wave is the dominant brain wave
Fill in the blank(s) with correct word
Molly focuses her leadership behaviors on helping followers reach their full potential as human beings. She is using
a. Situational leadership b. Path-goal leadership c. Contingent reward leadership d. Transformational leadership
The nurse is assessing the face of a client with a history of Parkinson's disease. Which of the following would the nurse most likely assess?
A) Sunken face B) Drooping of one side C) Masklike expression D) Asymmetry of earlobes
The nurse is preparing to assess a patient's cranial nerve XI (spinal accessory). What should the nurse ask the patient to complete this assessment?
A. Smell items with one nostril blocked and identify them correctly. B. Taste foods and distinguish sweet from sour. C. Stick out the tongue and move it from side to side. D. Shrug the shoulders and turn the head against resistance.