The nurse is triaging phone calls at the mental health clinic. Which client situation requires immediate follow-up? A client prescribedA. olanzapine reporting muscle stiffness and feeling hot.B. haloperidol reporting blurred vision and constipation.C. clozapine reporting occasional twitches of the mouth.D. aripiprazole reporting feeling very restless.
Question
The nurse is triaging phone calls at the mental health clinic. Which client situation requires immediate follow-up? A client prescribedA. olanzapine reporting muscle stiffness and feeling hot.B. haloperidol reporting blurred vision and constipation.C. clozapine reporting occasional twitches of the mouth.D. aripiprazole reporting feeling very restless.
Solution
The client situation that requires immediate follow-up is A. A client prescribed olanzapine reporting muscle stiffness and feeling hot. This is because these symptoms could indicate a potentially serious side effect known as Neuroleptic Malignant Syndrome (NMS). NMS is a rare but potentially life-threatening condition that can occur in response to neuroleptic or antipsychotic medication. Symptoms can include high fever, stiffness, autonomic dysfunction, and altered mental status. Therefore, this client's symptoms should be addressed immediately.
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