Free BCEN Certified Emergency Nurse (CEN) Practice Question

The presence of hallucinations and delusional thinking, along with symptoms like high fever, elevated heart rate, and muscle rigidity, suggest a potential diagnosis of Neuroleptic Malignant Syndrome (NMS), especially if the patient has been on antipsychotic medication. Immediate discontinuation of any potential offending antipsychotic agent and symptomatic treatment is critical. While starting a new medication regimen might be necessary eventually, addressing possible NMS requires urgent medical attention to prevent further complications, such as renal failure or severe neurological damage. Although Hydrotherapy and adjustment of current antipsychotic medications are relevant considerations, they do not address the immediate life-threatening situation of NMS.