A 24-year-old client is being seen in the emergency department because of a high fever and cannot move the right arm. during the
history-taking process, the nurse discovers the client is being treated with an antipsychotic medication for schizophrenia. the nurse knows that what may be happening with this client?
The client may be suffering from a neuroleptic malignant syndrome (NMS) which is a reaction to his antipsychotic medication. NMS is rare but life-threatening and is characterized by high fever, muscular rigidity(that's why he can't move his arm), altered mental status hyperthermia, and autonomic dysfunction.
Since is life-threatening, it requires immediate treatment.
In a patient presenting with high fever with neurologic deficits (in this case, the paresis of the right arm), with a significant drug history involving anti-psychotic medications for schizophrenia, the most probable impression will be cause and effect. The patient's presentation may be linked to the intake of antipsychotic medications. In this particular case, there is a phenomenon called Neuroleptic Malignant Syndrome or NMS. In patients experiencing NMS, the most common set of clinical manifestation include extrapyramidal effects (i.e. paresis of limbs), hyperthermia (i.e. fever), and autonomic disturbances (i.e. urinary and fecal incontinence). This is a rare effect in patient taking antipsychotic drugs such as Aripiprazole. This requires immediate intervention as this is life threatening.
The answer is C) extrusive igneous. This rock starts as magma, so you know it must be a type of igneous<span> rock. The question tells you that the rock forms when it is cooled by the water, so you know it is formed outside of the Earth's interior, therefore making it extrusive igneous rock.
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The plasticity of rock in the mantle and the convection currents in the region are responsible for tectonic plate movements. The hot molten rock from deep in the mantle rise and is replaced by the cooler rock at the upper mantle. These convections are similar to those of water in a boiling pot. As the tectonic plates move (as they are dragged by these convections) and collide, earthquakes are caused. In addition, at subductions zones (where two plates collide) there occurs high volcanic activity.
