You are a nurse doing rounds on the psych unit. You find a 37-year-old, schizophrenic female patient in her room complaining of stiffness in her muscles. You ask her if she knows where she is, and she sluggishly responds that she is in a rainforest and believes that it’s 1979. You take her vitals and see the following: Temp: 103 °F, Pulse: 129 bpm, Respirations: 29/min, and BP: 143/97. What should be your priority?
Document the patient’s appearance, statements, and vitals.
Take vitals again.
Administer her PRN Benzotropin.
Notify the physician.
Administer her scheduled antipsychotic medication.
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