Prior to administering benztropine (Cogentin) to a client, the nurse assesses adverse effects of previous doses and decides to withhold the current dose. Which clinical manifestation would warrant the nurse holding the dose of the medication?
1. A respiratory rate of 14
2. A blood pressure reading of 88/60 mmHg
3. A temperature of 100.2°F
4. Distant bowel sounds
Correct Answer: 4
Rationale 1: A respiratory rate of 14 is a normal finding.
Rationale 2: Initial hypotension can occur, but is an uncommon finding.
Rationale 3: An elevated temperature is not a side effect of benztropine (Cogentin).
Rationale 4: Paralytic ileus is the only identified life-threatening adverse reaction with this medication. Distant bowel sounds could be an indication of developing paralytic ileus.
Global Rationale: Paralytic ileus is the only identified life-threatening adverse reaction with this medication. Distant bowel sounds could be an indication of developing paralytic ileus. A respiratory rate of 14 is a normal finding. Initial hypotension can occur, but is an uncommon finding. An elevated temperature is not a side effect of benztropine (Cogentin).
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