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. The number of sponges used during the procedure is not necessary for the hand-off report unless the nurse is specifically asked or there is a concern for retained sponges.
B. The client's status as a board member is irrelevant to their medical care and should not be included in the hand-off report.
C. Intubation without complications is important to report but is not as critical as information about blood loss, which directly impacts the client's recovery.
D. Reporting the estimated blood loss is important for the receiving nurse to know as it can affect the client’s hemodynamic status and monitoring postoperatively.
Correct Answer is B
Explanation
A. Hypertension is not a contraindication for acupuncture, and it can be used to help manage pain related to various conditions, including osteoarthritis.
B. Herpes zoster (shingles) is a contraindication for acupuncture, especially if the lesions are present, as needling over or near the affected area may worsen the condition.
C. Obesity is not a contraindication for acupuncture, though the client may need to discuss their treatment goals with the practitioner.
D. Hypothyroidism is not a contraindication for acupuncture, as acupuncture can be used to manage symptoms of hypothyroidism.
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