A client diagnosed with schizophrenia, paranoid type, was ...

[Brittanyd9008]

A client diagnosed with schizophrenia, paranoid type, was admitted to the hospital, and haloperidol (Haldol) was begun. The nurse would assess for neuroleptic malignant syndrome (NMS) if the client had a:
 
  1. 30 mm Hg decrease in blood pressure reading
  2. Respiratory rate of 24 respirations per minute
  3. Temperature reading of 104 F
  4. Pulse rate of 70 beats per minute

Question 2

A client taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the nurse assess as the likely cause of these symptoms?
 
  1. Decreased dopamine at receptor sites
  2. Blockade of histamine
  3. Cholinergic blockade
  4. Adrenergic blocking

[medine]

Answer to Question 1

ANS: 3
Increased temperature is the cardinal sign of NMS. Option 1: This is not a significant feature of NMS. Options 2 and 4: These are not significant findings.

Answer to Question 2

ANS: 3
Fluphenazine administration produces blockade of cholinergic receptors giving rise to anticholin-ergic effects such as dry mouth, blurred vision, constipation, etc.