The patient receiving antipsychotic medication who should be most carefully monitored for development of neuroleptic malignant syndrome is the individual who
a. has a history of hypothermia.
b. has an elevated serum prolactin level.
c. is beginning treatment with a high-potency drug.
d. has taken antipsychotics for more than 6 months.
C
Neuroleptic malignant syndrome (NMS) is more common among patients receiving high-potency drugs. NMS is associated with hyperthermia and occurs within the first 3 to 9 days of administration. Prolactin levels and NMS are not causally related.
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