ATI RN
ATI Pharmacology N211 Delia Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5* C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Neuroleptic malignant syndrome (NMS). NMS is a rare but potentially life-threatening adverse reaction to antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. Here's a step-by-step rationale: 1) The client's temperature of 39.5°C indicates hyperthermia, a hallmark of NMS. 2) The elevated blood pressure of 150/110 mm Hg can be seen in NMS due to autonomic dysfunction. 3) Muscle rigidity is a common symptom of NMS due to altered dopamine function. 4) Akathisia (choice
A) is characterized by restlessness and is not associated with high fever or muscle rigidity. Tardive dyskinesia (choice
C) is a movement disorder that develops with long-term antipsychotic use and does not present with high fever or muscle
Question 2 of 5
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