Question

A nurse is assessing a client who has schizophrenia and and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation can of neuroleptic malignant syndrome?

(a) Fever (38°C or higher)
(b) Muscle rigidity
(c) Altered mental status (confusion, disorientation)
(d) Autonomic dysfunction (rapid heart rate, fluctuating blood pressure)
(e) All of the above

Answer 1

The nurse should report fever, muscle rigidity, altered mental status, and autonomic dysfunction as manifestations of neuroleptic malignant syndrome when observed in a client taking haloperidol.

Step-by-step explanation:

The nurse should report all of the following findings to the provider as manifestations of neuroleptic malignant syndrome (NMS):

• Fever (38°C or higher)
• Muscle rigidity
• Altered mental status (confusion, disorientation)
• Autonomic dysfunction (rapid heart rate, fluctuating blood pressure)

NMS is a potentially life-threatening condition associated with the use of neuroleptic drugs like haloperidol, which can impact the basal nuclei and affect dopamine activity. Recognizing these symptoms early and notifying the healthcare provider is vital for the patient’s safety.