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. Suggesting follow-up with a regular doctor might be helpful, but it does not address the specific needs of a mental health diagnosis.
B. Recommending follow-up care from a mental health provider ensures that the client receives specialized care for managing borderline personality disorder, which often requires therapy and possibly medication.
C. While acknowledging the client's progress is supportive, it does not provide appropriate guidance for ongoing mental health care.
D. This response does not address the importance of specialized mental health care necessary for managing borderline personality disorder effectively.
Correct Answer is A
Explanation
A. Tardive dyskinesia is a potential adverse effect of long-term antipsychotic medication use, characterized by involuntary, repetitive movements, often around the mouth, such as lip smacking, grimacing, and tongue movements.
B. Seizures and tremors can be side effects of some medications but are not specific to tardive dyskinesia.
C. Nausea and vomiting are common side effects of many medications but do not specifically indicate tardive dyskinesia.
D. Hallucinations and delusions are symptoms of psychotic disorders themselves, not side effects of the medications used to treat them.
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