A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?
Fever
Tinnitus
Bruising
Rash.
The Correct Answer is A
A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.
B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Eggs are not typically restricted while taking phenelzine (Nardil).
B. Onions are not typically restricted while taking phenelzine (Nardil).
C. Apples are not typically restricted while taking phenelzine (Nardil).
D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.
Correct Answer is D
Explanation
A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.
B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.
C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.
D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.
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