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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.

B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.

C. Fluid restriction is not necessary and could lead to dehydration.

D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.

A. "During this test, I must not eat or drink anything." B. "During this test, I will push a button if my baby moves." C. "I will get oxytocin during this test." D. "This test will tell me if my baby has a genetic problem."

Correct Answer is B

Explanation

A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.

B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.

C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.

D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?

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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?

A nurse is caring for a female client who requires bed rest and reports difficulty urinating into a bedpan. Which of the following actions should the nurse take?

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