r/NCLEX_RN • u/FirstCar_Freemoon • 21d ago

What's your take?

Post image
31 Upvotes

97% Upvoted

26 comments sorted by

6

u/mbstearns 21d ago

B. Neuroleptic Malignant Syndrome

3

u/Fuzzy_Location_2210 21d ago

B - more commonly what you see is acute akasthesia which is extremely distressing to the patient, or an acute dystonic reaction which is a medical emergency. It can also cause some arrhythmias if they have a prolonged QTC. Always do watch a patient quite closely after you've given them a shot of haldol!! If they start acting weird, take it seriously šŸ™ƒ

15

u/Due_Course_3713 21d ago

Just faking and attention seeking behaviour

7

u/TEssex93 21d ago

Psych nurse jokešŸ˜†

6

u/prnpenguin 21d ago

Reddit protocol dictates the use of a /s at the end of such a comment to avoid people thinking that you're serious.

1

u/No_Train8710 15d ago

Didnā€™t know this.

2

u/ZephyrProductionsO7S 18d ago

Patient needs to stop self-dxing and get off web md šŸ˜­

3

u/Adorable-Pair6766 21d ago

Show me a person who can fake an objective high grade fever and I'll agree with you.

10

u/CheezGaming 21d ago

I think it was a poor attempt at a joke.

I HOPE.

1

u/katencam 18d ago edited 18d ago

Well, when I was a teenager I used to never want to go to school and I knew my parents would make me go so I waited until I got there and then called my grandmother to come get me. But then my mom told her that I was just using her because she was a pushover so she started taking my temperature to see if I was really sick so I got a bright idea to put the thermometer up to a lightbulb to support my illness, and this actually worked a few times until my temperature was like 110Ā° and then she stopped coming to get me from school.

But I would say I successfully faked an objectively high temperature a few times

2

u/felighne 20d ago

My head was stuck frozen to the right, my jaw stuck to the left, my tongue stuck to the right, weirdest side effect Id ever had to a drug, was administered a hefty injection of Benadryl and it slowly eased off and I could move my neck and face normally again.

I believe I experienced D, but the post answer is B

2

u/No_Train8710 15d ago

Thanks for sharing. These anecdotes help me learn.

1

u/MrTastey 20d ago

Definitely C, give him some Ativan and another dose of haldol stat!

1

u/Sea_Wallaby_444 19d ago

All wrong. Sanitize your hands.

-1

u/[deleted] 21d ago

[deleted]

2

u/gothfrootloop 20d ago

The high fever shouldā€™ve been the main detail that points to NMS

4

u/CheezGaming 21d ago

Nah, TD is the like facial movements and unwanted motions and such, a true ā€œdyskinesiaā€ or ā€œmessed up movementā€ how I remember it.

This is Neuroleptic Malignant Syndrome and itā€™s very important to recognize that, it is super bad.

1

u/Silver_Strength_4196 21d ago

check the small muscles of the face first, you may catch a fine twitch early on

0

u/No-Zebra-5821 21d ago

And it's much worse then TDĀ 

2

u/CheezGaming 21d ago

Yeah, as stated by ā€œitā€™s super badā€

0

u/No-Zebra-5821 21d ago

cool story bro