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 A

Explanation

A. Somatic symptom disorder involves experiencing real physical symptoms that are influenced by emotional factors, which is a key aspect of the disorder.

B. Suicidal ideations or thoughts of death are not a defining characteristic of somatic symptom disorder but may be relevant in other disorders.

C. Effective treatments are available for somatic symptom disorder, including psychotherapy and support for managing symptoms.

D. Individuals with somatic symptom disorder do not intentionally make up symptoms; their symptoms are genuinely felt, though driven by psychological factors.

A. Hepatitis B B. Radon C. Mold D. Paint

Correct Answer is C

Explanation

A. Hepatitis B is a viral infection and is not directly related to environmental allergens or asthma triggers.

B. Radon is a radioactive gas that can cause lung cancer, not asthma or allergies.

C. Mold can trigger asthma symptoms and allergic reactions, so it should be avoided.

D. While certain types of paint, especially older paints containing lead, can pose health risks, they primarily affect the nervous system and can lead to lead poisoning. They do not directly trigger the respiratory symptoms associated with asthma or allergies.

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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?

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