You are working with a client who is taking a neuroleptic medication that has recently been changed and increased. You notice that the client has a high fever (104 degrees Fahrenheit), is confused, and has extreme muscle rigidity
You would do which of the following? a. Suspect that the client has an infectious process, and call the health care provider, expecting an order for an antibiotic.
b. Call an ambulance immediately, notify the health care provider, and prepare for seizure control and cardiopulmonary resuscitation (CPR).
c. Suspect neuroleptic malignant syndrome, hold the neuroleptic medication, and call the health care provider.
d. Give the neuroleptic on time as ordered, call the health care provider to report the symptoms, and see if additional medication is needed.
C
The high fever, confusion, and muscle rigiditt is an indication that the client is experiencing neuroleptic malignant syndrome. The nurse should hold the medication and call the health care provider immediately. Neuroleptic malignant syndrome is the rarest side effect. If left untreated, it may rapidly lead to death.
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