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Question
Brianna is a 20 year old female diagnosed with borderline personality disorder (BPD). During shift report, you are informed that Brianna received a PRN of Haldol 10 mg, Ativan 1 mg, IM for non-redirectable behavior, which was effective. Later in the shift as you are making rounds, Brianna complains of her jaw aching and rates her pain 5/10. She receives PRN Tylenol 650 mg PO. During the one-hour follow-up Brianna states, "That Tylenol just made it worse. I can hardly open it now." Pain is rated at 10/10. What is the best action for you to take? checkmark-icon Contact the physician and report suspected EPS symptoms consistent with adverse effects of antipsychotic medication. checkmark-icon Ignore Brianna because her attention seeking behavior is characteristic of BPD. checkmark-icon Contact the physician and request a dental consult for Brianna. checkmark-icon Inform Brianna that Tylenol will not make the pain worse, and provide additional education about the medication.
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