Question

A 46-year-old female client has been on antipsychotic neuroleptics for the past three days. She has had a decrease in psychotic behavior and appears to be responding well to the medication. On the fourth day, the client's blood pressure increases, she becomes pale and febrile, and demonstrates muscular rigidity. Which action should the nurse initiate?

Answer 1

Neuroleptic malignant syndrome (NMS) is a severe and potentially life-threatening reaction that can occur with the use of antipsychotic medications. Symptoms include elevated blood pressure, hyperthermia, muscle rigidity, and changes in mental status. Immediate medical intervention is necessary.

Step-by-step explanation:

The symptoms described in the scenario are indicative of a potential condition called neuroleptic malignant syndrome (NMS), which is a severe and potentially life-threatening reaction that can occur with the use of antipsychotic medications. NMS is characterized by a combination of symptoms including elevated blood pressure, hyperthermia (fever), muscle rigidity, and changes in mental status. If a client presents with these symptoms, the nurse should initiate immediate medical intervention, including discontinuing the antipsychotic medication, providing supportive care, and consulting with the healthcare provider for further management.