What should the nurse do for a client on risperidone experiencing tremors, shortness of breath, fever, and sweating?

In cases where a client on risperidone presents with tremors, shortness of breath, fever, and sweating, these symptoms could indicate a serious condition potentially linked to neuroleptic malignant syndrome (NMS) or other serious medication reactions. Such symptoms reflect significant distress and potential danger to the client's health, warranting immediate medical intervention.

Taking the client's vital signs is a critical first step to assess the severity of their condition. Shortness of breath and fever may suggest an urgent need for intervention, and these vital signs can provide crucial information for further assessment and treatment. Arranging for the client’s immediate transfer to a hospital is essential to ensure that they receive prompt evaluation and management from a medical team, which is necessary in urgent or life-threatening situations. Addressing acute and serious side effects effectively is paramount in nursing care.

Other responses, such as reassuring the client while merely monitoring symptoms or adjusting the medication dosage without a comprehensive medical evaluation, do not adequately address the potential severity of the client's condition. Documenting symptoms and scheduling a follow-up might also lead to unacceptable delays in receiving the necessary medical care when urgent intervention is required. Therefore, arranging for immediate transfer to a hospital is the most appropriate and effective response in this scenario.