hard · NCLEX-RN Psychosocial Integrity

Complete the following clinical rationale statement by selecting the correct options from the drop-down menus: Apply the response specifically to this case: client taking antipsychotic medication who develops fever, lead-pipe rigidity, autonomic instability, and escalating confusion while staff initially attribute behavior to personality disorder.

  1. Neuroleptic malignant syndrome (NMS)
  2. Anticholinergic toxicity
  3. Progression of severe catatonic schizophrenia
  4. the combination of severe hyperthermia, generalized 'lead-pipe' muscle rigidity, and autonomic instability following antipsychotic use
  5. the presence of dry mucosal membranes, urinary retention, and absent bowel sounds
  6. the client's baseline history of refusal to communicate or move his limbs

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