Answer to Question 1
A
Neuroleptic malignant syndrome is a life-threatening reaction to antipsychotic medications that presents with increasing muscular stiffness (leading to rigidity), hyperpyrexia, autonomic nervous system instability, diminished level of consciousness, and other symptoms. Emergency cooling measures are indicated for hyperpyrexia, and because this is a dangerous medical emergency, care in a medical unit (preferably intensive care unit) is required stat. Anticholinergic toxicity includes hyperpyrexia and elevated and unstable vital signs but includes hot, dry skin and does not include motor rigidity. A simple relapse would not include the physical changes noted here. Agranulocytosis would present with symptoms suggesting infection, not the severe symptoms noted here.
Answer to Question 2
B
Reactions of the acute phase of the rape-trauma syndrome include shock, emotional numbness, confusion, disbelief, restless, and agitated motor activity. Flashbacks, dreams, fears, and phobias are seen in the long-term reorganization phase of the rape-trauma syndrome. Decreased motor activity by itself is not indicative of any particular phase.
Client on IV patient-controlled analgesia (PCA).
Patient teaching: abdominal assessment
An example of a medical history sheet to list patient problems.
Example of a patient statement.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...