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A Patient Receiving Risperidone (Risperdal)reports Severe Muscle Stiffness at 10:30

Question 9

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A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 10:30 AM.By noon,the patient has difficulty swallowing and is drooling.By 4:00 PM,vital signs are body temperature,102.8° F;pulse,110 beats per minute;respirations,26 breaths per minute;and blood pressure,150/90 mm Hg.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.Immediately notify the health care provider.

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