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 A
Explanation
A. Taking a hot shower in the morning can help decrease stiffness and improve joint mobility for clients with rheumatoid arthritis. Heat therapy is beneficial for morning stiffness.
B. Cold packs should not be applied directly to the skin as it may cause skin damage. Cold therapy is used for inflammation, but not for prolonged periods on the skin.
C. Biological response modifiers are not used specifically to prevent infection; they modify immune response and may increase infection risk.
D. Clustering physical activities can lead to fatigue. The nurse should recommend spreading activities throughout the day to conserve energy.
Correct Answer is C
Explanation
A. Blood is typically drawn from the heel, not the inner elbow, for newborn genetic screening.
B. There is no need to give water before the test; it is a simple blood draw.
C. The newborn screening test should be performed after 24 hours of age, as this ensures enough time for metabolic disorders to manifest in the blood.
D. This test is generally performed once, but it may be repeated later if there are concerns or abnormal results.
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