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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Traditional antipsychotics can increase tremors in people with Parkinson's disease ¹. These medications can block dopamine receptors in the brain, which can worsen Parkinson's symptoms ¹.
Option A is not correct because beta-blockers are not known to increase tremors in Parkinson's disease.
Option B is not correct because non-steroidal anti-inflammatory drugs (NSAIDs) are not known to increase tremors in Parkinson's disease.
Option D is not correct because barbiturates are not known to increase tremors in Parkinson's disease.
Correct Answer is C
Explanation
The order states that morphine 1 mg should be given intravenously (IV) every 2 hours as needed for pain. This means that the nurse should assess the client's pain level every 2 hours and determine if 1 mg of morphine IV is needed to manage the pain.
Option A is incorrect because the order specifies that morphine should be given every 2 hours as needed, not every hour.
Option B is incorrect because the order specifies that morphine should be given intravenously (IV), not enterally.
Option D is incorrect because the order specifies that morphine should be given as needed for pain, not automatically every 2 hours.
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