Psychotic Disorders no. 4104
QUESTION: A physician starts a client on the antipsychotic medication haloperidol (Haldol). The nurse is aware that this medication has adverse extrapyramidal effects. Which nursing measures should be taken during haloperidol administration? Select all that apply:
✘O a.)Review subcutaneous (S.C.) injection technique.
✓O b.) Closely monitor vital signs, especially temperature.
✓O c.)Provide the client with the opportunity to pace.
✘O d.)Monitor blood glucose levels.
Provide the client with hard candy.
Monitor the client for signs and symptoms of urticaria.
RATIONALERATIONALE: Neuroleptic malignant syndrome is a life-threatening adverse extrapyramidal effect of antipsychotic medications such as haloperidol. It's associated with a rapid increase in temperature. The most common adverse extrapyramidal effect, akathisia, is a form of psychomotor restlessness that can often be relieved by pacing. Haloperidol and the anticholinergic medications that are provided to alleviate its extrapyramidal effects can result in dry mouth. Providing the client with hard candy to suck on can help alleviate this problem. Haloperidol isn't given S.C. and doesn't affect blood glucose level. Urticaria isn't usually associated with haloperidol administration.NURSING PROCESS STEP: PlanningCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapiesCOGNITIVE LEVEL: Analysis
