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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Eating disorders are challenging to treat because they involve behaviors around eating, which is essential for survival. The psychological and physiological complexities make treatment difficult.
B. While psychotropic medications can be part of the treatment, they are not the primary treatment method for eating disorders, which also involve nutritional counseling and psychotherapy.
C. Eating disorders typically have a gradual onset, not an abrupt one.
D. Eating disorders can be treated on both an inpatient and outpatient basis, depending on the severity and individual needs of the client.
Correct Answer is B
Explanation
A. Functional neurological symptom disorder (conversion disorder) involves neurological symptoms incompatible with medical conditions, not primarily anxiety about disease.
B. Illness anxiety disorder is characterized by excessive worry about having or acquiring a serious illness and behaviors such as repeated body checking.
C. Factitious disorder involves deliberately producing or exaggerating symptoms for the purpose of assuming a sick role.
D. Somatic symptom disorder involves physical symptoms that cause significant distress and impairment, but the primary feature is the symptom itself, not the fear of having a disease.
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