A client with psychosis is receiving an antipsychotic medication and is continually rubbing the back of the neck. What is the best nursing intervention?
A.
Obtain an extra pillow for the client to use at night.
B.
Give a PRN prescription for benztropine.
C.
Provide the client a heating pad to place on the neck.
D.
Obtain a prescription for physical therapy services.
The Correct answer and Explanation is:
The correct answer is B. Give a PRN prescription for benztropine.
Explanation:
In this scenario, the client is exhibiting a behavior commonly associated with the side effects of antipsychotic medications, specifically extrapyramidal symptoms (EPS) such as akathisia or dystonia. These symptoms may manifest as restlessness, discomfort, or muscle stiffness, particularly in the neck and shoulders. Rubbing the back of the neck suggests the client may be experiencing these discomforts, which can occur due to medications like haloperidol or risperidone.
Benztropine is an anticholinergic medication often used to treat symptoms of EPS. It works by restoring the balance of neurotransmitters in the brain, particularly acetylcholine and dopamine, which can alleviate symptoms such as muscle rigidity and discomfort. By administering benztropine, the nurse can help reduce the client’s distress and improve their overall comfort while receiving antipsychotic therapy.
Other options are less appropriate for the following reasons:
- A. Obtain an extra pillow for the client to use at night. While this may provide some comfort, it does not address the underlying cause of the neck discomfort and may not alleviate the symptoms associated with EPS.
- C. Provide the client a heating pad to place on the neck. Although heat can offer temporary relief, it does not treat the root problem of possible medication-induced muscle tension or discomfort.
- D. Obtain a prescription for physical therapy services. This option could be beneficial in the long term but would not provide immediate relief for the acute discomfort the client is experiencing due to antipsychotic side effects.
In summary, administering benztropine is the most effective and immediate intervention for alleviating the symptoms the client is experiencing as a side effect of their antipsychotic medication. This approach ensures the client’s comfort and encourages adherence to their treatment regimen.