The nurse is assessing a patient who recently started taking an antipsychotic medication. Which of the following side effects could the nurse expect to observe and would not require immediate intervention?
Explanation & Rationale
Choice A reason: Slurred speech, hand tremors, and severe occipital headache may indicate extrapyramidal symptoms (EPS) or early signs of neurotoxicity. These symptoms require prompt evaluation to rule out serious adverse reactions such as dystonia, akathisia, or neuroleptic malignant syndrome. Immediate intervention is warranted. Choice B reason: These symptoms reflect anticholinergic side effects, which are common and expected with many antipsychotic medications, especially first-generation agents. Constipation, dry eyes, heat sensitivity, and decreased sweating are uncomfortable but typically manageable with supportive care and do not require emergency intervention unless they become severe or lead to complications such as heat stroke. Choice C reason: Sleepiness and irritability may be mild and expected, but muscle weakness can be concerning if it progresses or interferes with mobility. It may signal electrolyte imbalance or other systemic effects, requiring further assessment. Therefore, this cluster of symptoms is not entirely benign. Choice D reason: Vomiting and severe frontal headaches may indicate increased intracranial pressure, medication intolerance, or other serious systemic reactions. These symptoms are not typical side effects of antipsychotics and require immediate evaluation to rule out serious pathology.