The nurse has administered a dose of haloperidol to a client with schizophrenia. Which of the following adverse effects would need to be reported to the provider immediately?
Dry mouth
Oral temperature of 101 F
Drowsiness
Blood pressure of 104/72 mmHg
The Correct Answer is B
The nurse would need to report an oral temperature of 101 F to the provider immediately. This could be a sign of neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening reaction to antipsychotic medications such as haloperidol ¹. NMS can cause high fever, muscle rigidity, and changes in mental status ¹.
Option A is incorrect because dry mouth is a common side effect of haloperidol and would not need to be reported to the provider immediately ².
Option C is incorrect because drowsiness is a common side effect of haloperidol and would not need to be reported to the provider immediately ⁴.
Option D is incorrect because a blood pressure of 104/72 mmHg is within the normal range and would not need to be reported to the provider immediately.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for several reasons, including reducing the risk of suicide with overdose ³. TCAs have a higher potential for serious or fatal toxicity when taken in large amounts compared to SSRIs ³.
Option A is incorrect because SSRIs can cause sexual dysfunction as a side effect.
Option B is incorrect because both SSRIs and TCAs can cause weight gain and gastrointestinal (GI) effects.
Option C is incorrect because SSRIs can increase the risk of serotonin syndrome when taken with other medications that affect serotonin levels.
Correct Answer is A
Explanation
The nurse would expect the provider to order acetaminophen or ibuprofen for the client. Headache, fever, chills, and muscle aches are common side effects of interferon beta-1a ¹⁴. These side effects are often referred to as flu-like symptoms and can be managed with over-the-counter pain relievers such as acetaminophen or ibuprofen ¹.
Option B is incorrect because an evaluation by a physician may not be necessary if the client is experiencing common side effects of interferon beta-1a.
Option C is incorrect because discontinuing the medication immediately may not be necessary if the client is experiencing common side effects of interferon beta-1a.
Option D is incorrect because checking the hemoglobin may not be necessary if the client is experiencing common side effects of interferon beta-1a.
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