Neuroleptic malignant syndrome (NMS) is a potentially fatal side effect of antipsychotic medications. Which of the following symptoms are indicative of NMS? (Select all that apply.)
a. Hypothermia
b. Hyperthermia
c. Rigid posturing
d. Agitation
e. Tachycardia
f. Diaphoresis
g. Slow, shallow respirations
B, C, D, E, F
Symptoms of NMS begin with a sudden change in the client's level of consciousness and a rapid onset of rigid muscles. Often there is an associated respiratory difficulty, tremors, and an inability to speak; however, the cardinal sign of NMS is a high body temperature. Temperatures can reach as high as 108° F but usually range between 101° F and 103° F. Hypothermia and slow, shallow respirations are not indicative of NMS.
You might also like to view...
The large parotid glands, located in the cheeks, secrete amylase-rich fluid through which of the following?
a. Wharton ducts c. Sulcus terminalis b. Stensen's ducts d. Semicircular canals
A nurse is caring for a frail older adult client with chronic obstructive pulmonary disease. The client always remains in a sitting position to help him breathe more easily
Based on the understanding that prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of this client? A) Back of the skull B) Elbows C) Sacrum D) Heels
Which of the following persons would be most at risk for contracting an infectious disease?
a. The woman who has been taking antituberculosis medication for 3 months b. The elderly woman who recently emigrated with her family from Asia c. A full-time nurse at the local public health clinic d. A volunteer nurse aide at the sexually transmitted disease clinic
Nurses at a county hospital are using the Advancing Research and Clinical practice through close Collaboration (ARCC) model to foster evidence-based practice in their screening for delirium, depression, and dementia among older adult patients
Which of the following data sources will be prioritized and combined with research evidence in order to guide practice? A) Input from an interdisciplinary panel B) The experiences of other institutions that have undertaken similar initiatives C) The results of a cost analysis around implementing a change in practice D) Preferences of patients and families