NCLEX-PN

Category - Pharmacological Therapies

A female client with schizophrenia is prescribed haloperidol (Haldol). One afternoon, as the nurse walks into the dayroom, the nurse observes that the client appears jittery, restless, and unable to sit still. Which of the following actions by the nurse is the most appropriate?
  1. Ask the client if something is making her anxious
  2. Administer benztropine (Cogentin), as ordered
  3. Administer bromocriptine (Parlodel), as ordered
  4. Stay with the client and direct her to a calm environment
Explanation
Answer: B - Antipsychotic agents like haloperidol may result in akathisia, an extrapyramidal side effect characterized by inability to sit still. The best action of the nurse is to report the finding to the physician and administer benztropine, an anticholinergic agent, as ordered.
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