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 C

Explanation

A. Fluoxetine is an SSRI used to treat depression and anxiety disorders, not tardive dyskinesia.

B. Naloxone is an opioid antagonist used to treat opioid overdose, not tardive dyskinesia.

C. Valbenazine is specifically approved for the treatment of tardive dyskinesia and helps reduce the severity of the symptoms.

D. Diphenhydramine is an antihistamine that can be used to treat extrapyramidal symptoms, but it is not effective for tardive dyskinesia.

A. Relapses may indicate that the client has very little willpower. B. Relapses are rare and unlikely to occur. C. Relapses signal failure of the abstinence plan, and the plan must be changed. D. Relapses should be expected and be looked at as an opportunity.

Correct Answer is D

Explanation

A. Relapses do not indicate a lack of willpower; they are a common part of the recovery process and can occur even with strong willpower.

B. Relapses are not rare; they are a common part of the process for many individuals in recovery from addiction.

C. Relapses do not necessarily mean failure of the abstinence plan. Instead, they should be seen as an opportunity to reassess and adjust the plan as needed.

D. Viewing relapses as expected and as opportunities for learning and growth can be more constructive in managing addiction and encouraging continued efforts toward recovery.

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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

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Correct Answer is C

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Correct Answer is D

Explanation

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