A patient receiving haloperidol urgently calls to the nurse and reports that his eyes have rolled upward and he cannot redirect his gaze. The nurse contacts the physician to seek an order for:
a. Fluphenazine (Prolixin)
b. Citalopram (Celexa)
c. Benztropine (Cogentin)
d. Risperidone (Risperdal)
ANS: C
The nurse should recognize the patient's problem as dystonia and know the treatment is IM administration of an antiparkinsonian drug, such as benztropine, or an antihistamine, such as diphenhydramine (Benadryl), for which a physician's order is necessary. Fluphenazine (Pro-lixin) would worsen the condition. The remaining options would not be useful.
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