A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?
Tinnitus and jerking movements
Pill rolling movements and drooling
Suicidal ideations
Dilated pupils and loss of muscle coordination
The Correct Answer is D
A. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.
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Related Questions
Correct Answer is B
Explanation
A. Traumatic brain injury can cause cognitive impairments but is not typically associated with these specific symptoms.
B. Frontotemporal lobar degeneration primarily affects the frontal and temporal lobes of the brain, which are responsible for personality, behavior, language, and motor functions. Symptoms often include changes in behavior, personality, language difficulties, and problems with daily living. Lack of sleep, appetite, and concentration issues are common in the early stages of FTLD.
C. While HIV can lead to neurological complications, the symptoms described are not characteristic of HIV-related dementia.
D. Prion diseases usually present with rapidly progressive dementia and motor symptoms but are less associated with lack of sleep and appetite.
Correct Answer is B
Explanation
A. Stimulants can cause paranoia and agitation, but the visual and auditory hallucinations described are more characteristic of hallucinogen use.
B. Hallucinogens can cause severe paranoia, hallucinations, and altered perceptions of reality, matching the client's symptoms.
C. Anabolic steroids are associated with mood swings and aggressive behavior, not typically hallucinations and paranoia to this degree.
D. Opioids often cause sedation and euphoria but are not associated with the hallucinations and severe paranoia described.
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