A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill.
Findings include blood pressure changes, hyperpyrexia, and diaphoresis.
The nurse should recognize that which of the following adverse effects may be occurring?
Pseudoparkinsonism.
Neuroleptic malignant syndrome.
Acute dystonia.
Tardive dyskinesia.
The Correct Answer is B
Choice A rationale:
Pseudoparkinsonism is a side effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, such as tremors and rigidity. It does not typically cause hyperpyrexia or diaphoresis.
Choice B rationale:
Neuroleptic malignant syndrome is a rare but serious side effect of antipsychotic medications. It can cause severe fever (hyperpyrexia), unstable blood pressure, and heavy sweating (diaphoresis)4.
Choice C rationale:
Acute dystonia is a condition of sudden, involuntary muscle contractions. It does not typically cause hyperpyrexia or diaphoresis.
Choice D rationale:
Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, causing involuntary movements, especially around the mouth. It does not typically cause hyperpyrexia or diaphoresis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Vitamin K is not specifically related to the management of bipolar disorder or the use of lithium.
Choice B rationale:
Clients under lithium therapy don’t need to limit their sodium intake. It is recommended to keep salt intake the same as before prescription of the lithium medication.
Choice C rationale:
While potassium is an important dietary element, it is not specifically related to the management of bipolar disorder or the use of lithium.
Choice D rationale:
Vitamin C is not specifically related to the management of bipolar disorder or the use of lithium.
Correct Answer is C
Explanation
Choice A rationale:
Delusional disorder is characterized by the presence of one or more delusions for a month or longer, which could be plausible but are not real. This is not the case here.
Choice B rationale:
Anhedonia refers to the inability to experience pleasure, a common symptom in many mental disorders, including depression. It does not apply to this situation.
Choice C rationale:
Associative looseness, or loose associations, is a thought disorder characterized by speech in which ideas shift from one subject to another that is unrelated or minimally related. The client’s statement is an example of this.
Choice D rationale:
Hallucinations are sensory experiences that occur in the absence of actual stimulation. The client’s statement is not a hallucination, but a disorganized thought process.
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