One week after beginning therapy with thiothixene (Navane), the client demonstrates muscle rigidity, a temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence
The nurse should notify the physician because these symptoms are indicative of: A) Acute dystonic reaction
B) Extrapyramidal side effects
C) Neuroleptic malignant syndrome
D) Tardive dyskinesia
C
Feedback: The client demonstrates all the classic signs of neuroleptic malignant syndrome. Dystonia involves acute muscular rigidity and cramping, a stiff or thick tongue with difficulty swallowing, and in severe cases, laryngospasm and respiratory difficulties. Extrapyramidal side effects are reversible movement disorders induced by antipsychotic or neuroleptic medication. Tardive dyskinesia is a late-onset, irreversible neurologic side effect of antipsychotic medications, characterized by abnormal, involuntary movements such as blinking, chewing, and grimacing.
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