medium · NCLEX-RN psychosocial

A client receiving 10 mg of haloperidol daily develops a temperature of 39.4circ C (102.9circ F), profound 'lead-pipe' muscle rigidity, and fluctuating consciousness.

Which pathophysiologic mechanism is most likely responsible for these findings?

  1. Dopamine receptor blockade in the basal ganglia and hypothalamus
  2. Acute hypersensitivity reaction causing systemic vasodilation
  3. Excessive accumulation of serotonin in the synaptic clefts
  4. Anticholinergic crisis causing reduced sweat production

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