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A nurse is caring for a client at a clinic.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing

due to
Answer and Explanation

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).


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Related Questions

Correct Answer is B

Explanation

A. Lying down in a quiet room may not be the best approach as it may isolate the client further. A more active approach is needed to engage with the client.
B. Asking the client directly what they are hearing helps assess the content of the hallucinations and can
provide insight into the client’s experience.
C. Avoiding eye contact may increase anxiety or suggest a lack of concern. Maintaining appropriate eye contact is generally supportive.
D. Referring to hallucinations as real can reinforce delusions and is not therapeutic.

Correct Answer is C

Explanation

A. By 2 years of age, the fontanels should be closed, and they should not be palpable.
B. Loss of deciduous teeth typically begins around age 6, not at age 2.
C. A protruding abdomen is a normal finding in a 2-year-old toddler due to the shape of their abdomen.
D. By age 2, the head circumference should be approximately the same as the chest circumference, not larger.

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