A nurse working in an outpatient psychiatric clinic is assessing a 39-year-old patient with a history of schizophrenia who started taking Haldol (haloperidol) 3 mg po TID last week. Which of the following should be reported to the physician immediately?
A) The patient is smacking his lips and chewing while the nurse is asking questions.
B) The patient says, "I heard the angels talking again last night."
C) The patient reports he is staying at a homeless shelter downtown.
D) The patient tells the nurse he forgot to bring in his pills but that he needs more.

Question

Quizplus · Accepted Answer

The patient displaying symptoms of smacking his lips and chewing is indicative of tardive dyskinesia, a serious and potentially irreversible side effect of antipsychotic medications like Haldol (haloperidol). This should be reported to the physician immediately for assessment and potential adjustment of medication.

A Nurse Working in an Outpatient Psychiatric Clinic Is Assessing