A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Bipolar disorder

Premenstrual dysphoric disorder

Psychotic depression

Postpartum depression

Answer and Explanation

The Correct Answer is D

A. Bipolar disorder: Bipolar disorder involves episodes of mania and depression but does not typically present with postpartum psychotic symptoms such as hallucinations.

B. Premenstrual dysphoric disorder: This is a severe form of premenstrual syndrome (PMS) that affects mood, but it is not associated with postpartum psychosis or auditory hallucinations.

C. Psychotic depression: Psychotic depression can include hallucinations, but in a postpartum context, postpartum psychosis is the more likely diagnosis.

D. Postpartum depression: Severe postpartum depression can lead to postpartum psychosis, which includes symptoms like hallucinations and delusions. This is a medical emergency requiring immediate intervention.

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Correct Answer is C

Explanation

A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.

B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.

C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.

D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.

A. Verifying the information with the patient's family members at the bedside B. Placing an alert bracelet on the patient before leaving the unit C. Asking the patient to describe the reaction that occurs D. Documenting the information on the patient's medical record

Correct Answer is C

Explanation

A. Verifying the information with the patient's family members at the bedside: While family members can provide insight, the most critical step is gathering information directly from the patient about the reaction.

B. Placing an alert bracelet on the patient before leaving the unit: While this is necessary, the nurse should first confirm the details of the allergy.

C. Asking the patient to describe the reaction that occurs: The nurse must determine whether the reaction is a true allergy (e.g., anaphylaxis, rash, difficulty breathing) or an intolerance (e.g., nausea, drowsiness). This ensures appropriate precautions are taken.

D. Documenting the information on the patient's medical record: Documentation is crucial but should follow verification of the allergy details.

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A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications can cause serotonin syndrome?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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