A nurse is collecting data from a client who is receiving multiple antipsychotic medications. The client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify that the client may be experiencing which of the following adverse effects?
Neuroleptic malignant syndrome
Acute dystonia
Tardive dyskinesia
Pseudoparkinsonism
The Correct Answer is A
Choice A reason: Neuroleptic malignant syndrome is a life-threatening reaction to antipsychotics characterized by muscle rigidity, high fever, and autonomic instability such as diaphoresis.
Choice B reason: Acute dystonia involves muscle spasms, usually of the face or neck, but not hyperpyrexia or diaphoresis.
Choice C reason: Tardive dyskinesia involves involuntary repetitive movements, often of the mouth or tongue, not systemic symptoms.
Choice D reason: Pseudoparkinsonism mimics Parkinson’s disease with tremors and rigidity but does not include hyperpyrexia or diaphoresis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This response is sarcastic and undermines therapeutic communication. It may escalate hostility.
Choice B reason: Asking "Why" questions can sound confrontational and does not set boundaries.
Choice C reason: Handing over the schedule without addressing disrespectful communication ignores the behavior and fails to set limits.
Choice D reason: Setting expectations for respectful communication establishes boundaries and models appropriate interaction. This is therapeutic and consistent with managing borderline personality disorder.
Correct Answer is A
Explanation
Choice A reason: Suspected abuse must be reported immediately according to mandated reporting laws and agency guidelines. This ensures the client’s safety and initiates protective interventions.
Choice B reason: Waiting until the next visit delays action and places the client at continued risk.
Choice C reason: Family therapy may be helpful but is not appropriate until abuse is addressed and safety ensured.
Choice D reason: Increasing visits does not resolve the immediate risk of abuse. Reporting is the priority.
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