hard · NCLEX-RN Psychosocial Integrity

The nurse evaluates the client's progress at 18:00. Which findings indicate a positive therapeutic response to the emergency interventions? Select all that apply. 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. Client is responsive, oriented to person, place, and year, and follows commands.
  2. Muscles of all four extremities are pliable with minimal resistance to passive movement.
  3. Serum potassium is 4.1 mEq/L and serum creatinine is 1.1 mg/dL.
  4. Urine output is 360 mL over the last 4 hours (90 mL/hour) and is light yellow.
  5. Core body temperature is 37.5 C (99.5 F) and diaphoresis has resolved.
  6. The client refuses to discuss his psychiatric delusions with the psychiatric nurse.

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