PMHNP Certification Q & A

Antipsychotic Adverse Reactions


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The PMHNP is called to the emergency department to evaluate a patient with an acute onset mental status change. The patient has a long history of schizophrenia and has been managed on a variety of antipsychotic therapies that have had some success, but the patient has not ever really achieved goal remission.  Most recently he was started on a first generation antipsychotic along with benztropine (Cogentin). Today the patient is in the ED with confusion and muscle stiffness. 

Which of the following represents anticipated vital signs?

A. T 103.5o F, P 54 bpm, RR 24 bpm, BP 150/100 mm Hg 

B. T 102.5o F, P 129 bpm, RR 22 bpm, BP 170/110 mm Hg 

C. T 96.4o F, P 60 bpm, RR 24 bpm, BP 190/120 mm Hg 

D. T 98.6o F, P 102 bpm, RR 18 bpm, BP 147/99 mm Hg 

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YouTube: https://www.youtube.com/watch?v=9emyKQQhmYc&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=120



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PMHNP Certification Q & ABy Fitzgerald Health Education Associates

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