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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Diphenhydramine is an antihistamine and is not used to manage alcohol withdrawal symptoms.
B. Methadone is used to treat opioid withdrawal and dependence, not alcohol withdrawal.
C. Benzodiazepines are the treatment of choice for managing alcohol withdrawal symptoms because they help reduce withdrawal severity and prevent complications like seizures.
D. Naloxone is an opioid antagonist used to reverse opioid overdose, not alcohol withdrawal.
Correct Answer is D
Explanation
A. Alzheimer's disease is not commonly identified as a comorbidity with schizophrenia. While both are serious mental health conditions, they have different etiologies and risk factors.
B. Osteoarthritis, a degenerative joint disease, is not directly related to schizophrenia. It is a physical condition that commonly affects older adults.
C. Cancer can occur in any individual, but it is not specifically a comorbidity associated with schizophrenia.
D. Diabetes mellitus is a recognized comorbidity in clients with schizophrenia. This is due to a combination of factors including the effects of antipsychotic medications, lifestyle factors, and the physiological stress of managing a chronic mental illness.
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