Author Question: A patient who takes haloperidol (Haldol) for a diagnosis of schizophrenia has a dystonic reaction ... (Read 51 times)

jerry coleman · **on:** Jul 19, 2018

A patient who takes haloperidol (Haldol) for a diagnosis of schizophrenia has a dystonic reaction

Benztropine (Cogentin) 2 mg is given intramuscularly and then continued orally twice daily. Three days later, the patient has fever, disorientation, and tachycardia. Select the best analysis of this scenario.
a. Tardive dyskinesia has emerged.
b. Benztropine toxicity has developed.
c. Extrapyramidal symptoms have returned.
d. Dopaminergic benztropine effects have exacerbated the psychosis.

Question 2

The nurse caring for a hyperactive patient should be particularly concerned about assessing

a. physical safety.
b. emotional trauma.
c. manipulative behaviors.
d. feelings about the relationship.

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

Answer to Question 1

B
CNS hyperstimulation from anticholinergics causes fever, disorientation, excitement, agitation, delirium, and hallucinations as well as cardiovascular, urinary, and gastrointestinal symptoms. Collectively, these findings indicate anticholinergic toxicity. The symptoms described in the scenario do not accurately reflect any of the other options.

Answer to Question 2

A
Hyperactive patients are at high risk for injury and physical exhaustion, both of which compromise physical safety. Safety needs take priority over emotional needs.