Author Question: After taking chlorpromazine (Thorazine) for 1 month, a client presents to an ED with severe muscle ... (Read 97 times)

big1devin · **on:** Jul 19, 2018

After taking chlorpromazine (Thorazine) for 1 month, a client presents to an ED with severe muscle rigidity, tachycardia, and a temperature of 105oF (40.5?C).

Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing Thorazine and administering dantrolene (Dantrium)
2. Neuroleptic malignant syndrome treated by increasing Thorazine dosage and administering an antianxiety medication
3. Dystonia treated by administering trihexyphenidyl (Artane)
4. Dystonia treated by administering bromocriptine (Parlodel)

Question 2

Psychiatric rehabilitation focuses on: (Select all that apply.)

a. Helping clients control their behaviors
b. Assisting clients to cope effectively with their life situations
c. Helping clients identify their feelings
d. Preventing the client from harming himself or herself
e. Assisting the client with problem-solving techniques
f. Assisting with occupational and vocational training

mirabriestensky · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: The nurse should expect that an ED physician would diagnose the client with neuroleptic malignant syndrome and treat the client by discontinuing chlorpromazine and administering dantrolene. Neuroleptic malignant syndrome is a potentially fatal condition characterized by rigidity, fever, altered consciousness, and autonomic instability. The use of typical antipsychotics is largely being replaced by atypical antipsychotics because they have fewer side effects and present a lower risk.

Answer to Question 2

B, C, E, F
Helping clients control their behaviors and preventing the client from harming himself or herself are the goals of acute inpatient settings.