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

Answer and Explanation

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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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.

A. "A relapse plan explains how you can be hospitalized if needed." B. "A relapse plan addresses your living, housing, and working needs." C. "A relapse plan describes how you use coping strategies for living in the community." D. "A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse."

Correct Answer is D

Explanation

A. While hospitalization might be part of a relapse plan, it does not fully encompass the purpose of a relapse plan.

B. Addressing living, housing, and working needs is important, but it is not the primary focus of a relapse plan.

C. Using coping strategies is part of a relapse plan, but the main goal is to recognize and manage worsening symptoms.

D. A relapse plan helps in recognizing early signs of worsening schizophrenia and provides steps to follow to manage these symptoms, aiding in the client's recovery and preventing full-blown relapses.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is B

Explanation

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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