A patient receiving haloperidol develops severe neck spasm, difficulty swallowing, and upward deviation of the eyes. Which nursing action is the priority?
Correct answer: B. Administer prescribed benztropine and assess the airway
- A. Place the patient in a quiet room and reassess later
- B. Administer prescribed benztropine and assess the airway
- C. Encourage oral fluids and provide a high-fibre meal
- D. Teach the patient that the reaction will resolve without treatment
Explanation
These findings indicate acute dystonia, an extrapyramidal reaction that can involve the laryngeal muscles and obstruct the airway. Benztropine or another prescribed anticholinergic is used promptly, while airway status is assessed. Delaying treatment can make the reaction dangerous.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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