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Author Question: A client diagnosed with schizophrenia takes an antipsychotic agent daily. Which assessment finding ... (Read 159 times)

Yi-Chen

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A client diagnosed with schizophrenia takes an antipsychotic agent daily. Which assessment finding should a nurse immediately report to the client's attending psychiatrist?
 
  A. Respirations of 22 beats/minute
  B. Weight gain of 8 pounds in 2 months
  C. Temperature of 104F (40C)
  D. Excessive salivation

Question 2

A client who is admitted to the inpatient psychiatric unit and is taking Thorazine presents to the nurse with severe muscle rigidity, tachycardia, and a temperature of 105F (40.5C).
 
  The nurse identifies these symptoms as which of the following conditions?
 
  A. Neuroleptic malignant syndrome
  B. Tardive dyskinesia
  C. Acute dystonia
  D. Agranulocytosis



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T4T

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Answer to Question 1

ANS: C
When assessing a client diagnosed with schizophrenia who takes an antipsychotic agent daily, the nurse should immediately address a temperature of 104F (40C). A temperature this high can be a symptom of the rare but life-threatening neuroleptic malignant syndrome.

Answer to Question 2

ANS: A
Neuroleptic malignant syndrome is a potentially fatal condition characterized by muscle rigidity, fever, altered consciousness, and autonomic instability.





 

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