A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?
Dry mouth
Constipation
Insomnia
Excessive sweating
The Correct Answer is D
A. Dry mouth is a common side effect but not a sign of serotonin syndrome.
B. Constipation is another possible side effect but is not an emergency.
C. Insomnia can occur but does not indicate serotonin syndrome.
D. This is the correct answer. Excessive sweating (along with agitation, confusion, fever, and muscle rigidity) is a sign of serotonin syndrome, a potentially life-threatening condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weigh the client every 48 hr. – Clients with anorexia nervosa should be weighed daily at the same time to monitor for fluctuations in weight and refeeding complications.
B. Allow the client to eat meals in his room. – Clients should eat meals in a monitored dining area to prevent food hoarding, purging, or avoidance of meals.
C. Observe the client for 1 hr after meals. – This is the correct answer because clients with anorexia nervosa are at risk of purging or excessive exercise after meals. Close observation helps prevent these behaviors.
D. Obtain the client’s vital signs every other day. – Vital signs should be monitored daily or more frequently if the client is medically unstable.
Correct Answer is C
Explanation
A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).
B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.
C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).
D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.