A Patient Receiving Risperidone (Risperdal) Reports Severe Muscle Stiffness at 1030

question 32

Multiple Choice

A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 1030. By 1200, the patient has difficulty swallowing and is drooling. By 1600, vital signs are 102.8° F; pulse 110; respirations 26; 150/90. The patient is diaphoretic. Select the nurse's best analysis and action.

• A) Agranulocytosis; institute reverse isolation.
• B) Tardive dyskinesia; withhold the next dose of medication.
• C) Cholestatic jaundice; begin a high-protein, high-cholesterol diet.
• D) Neuroleptic malignant syndrome; notify health care provider stat.

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