A nurse is caring for a client at a clinic.
Complete the following sentence by using the lists of options. The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine.
Rationale
Serotonin syndrome is a potentially life-threatening condition that occurs when there is an excess of serotonin in the central nervous system, often as a result of taking certain medications, particularly selective serotonin reuptake inhibitors (SSRIs) like paroxetine.
Adverse effects of paroxetine:
The client was recently switched from fluoxetine (another SSRI) to paroxetine, and has had their dose increased from 10 mg to 30 mg. This may lead to an increase in serotonin levels, which, if excessive, could trigger serotonin syndrome. The client’s current symptoms, including restlessness, abdominal pain, disorientation, and fever, are indicative of potential serotonin syndrome, which is often accompanied by agitation, hyperreflexia, tremors, and autonomic dysregulation (e.g., fever, tachycardia, hypertension).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Supervising return demonstration is important but should occur after assessing the client's understanding of how to use the diaphragm.
B. Documenting the client's level of understanding is part of the assessment process but not the first step.
C. Teaching the client how to insert the diaphragm is important, but it should be done after determining
the client’s baseline knowledge.
D. Determining the client’s knowledge ensures that teaching is focused on areas where the client may need additional information.
Correct Answer is D
Explanation
A. Absence seizures typically have no aura.
B. Absence seizures are brief, usually lasting 10-30 seconds, not 30 to 60 seconds.
C. The onset of absence seizures is sudden and brief, not gradual.
D. Absence seizures often appear as brief lapses in attention, which can be mistaken for daydreaming.
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