A client is experiencing fever, diaphoresis, muscle rigidity, and tachycardia for 4 hours. Current medications include aripiprazole (Abilify), enalapril (Vasotec), and atenolol (Tenormin)
What will the nurse prepare to administer to this client?
1. Antipyretics, electrolytes, and muscle relaxants
2. Antipyretics, intravenous fluids, and lorazepam (Ativan)
3. Antipyretics, electrolytes, and a cooling blanket
4. Antipyretics, intravenous fluids, and Atropine
Correct Answer: 1
Rationale 1: Quick, aggressive treatment is required for symptoms of neuroleptic malignant syndrome with antipyretics, electrolytes, and muscle relaxants.
Rationale 2: Giving Ativan might mask the symptoms and allow the disorder to worsen.
Rationale 3: A muscle relaxant is needed to halt the muscle rigidity.
Rationale 4: Giving Atropine would increase the heart rate even more.
Global Rationale: Quick, aggressive treatment is required for symptoms of neuroleptic malignant syndrome with antipyretics, electrolytes, and muscle relaxants. Giving Ativan might mask the symptoms and allow the disorder to worsen. A muscle relaxant is needed to halt the muscle rigidity. Giving Atropine would increase the heart rate even more.
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