An outpatient client taking paroxetine states he started taking St. John's Wort. The client calls the nurse with complaints of a high fever, muscle stiffness, and sweating. The nurse should advise the client to

use a high-quality heating pad for the pain.

contact the primary care provider immediately.

call an orthopedic doctor to evaluate the symptoms.

start on a clear liquid diet and maintain bedrest.

Answer and Explanation

The Correct Answer is B

B. The combination of paroxetine and St. John's Wort can lead to a potentially life-threatening condition known as serotonin syndrome. It is important for healthcare providers to be aware of potential drug interactions and to monitor patients closely when changes to their medication regimen occur.
A. Using a heating pad may provide temporary relief for muscle stiffness but does not address the underlying cause of the symptoms.
C. Given the symptoms described, involving an orthopedic doctor is not appropriate as the symptoms are not related to musculoskeletal issues.
D. A clear liquid diet and bed rest do not address the underlying issue in the client hence not an appropriate action.

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Correct Answer is C

Explanation

C. After ECT, the client may be disoriented, confused, or drowsy due to the effects of anesthesia and the procedure itself. Orienting the client to their surroundings and situation helps promote their safety and comfort. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is crucial to assess the client's immediate post-procedural status and detect any complications.
A. Offering reassurance can help alleviate any anxiety or confusion the client may experience. However, while this intervention is important, it may not be the first priority immediately upon admission to the Post Anesthesia Care Unit (PACU).
B. Hydration is important after any medical procedure, including ECT. However, immediately after ECT, the client may still be recovering from anesthesia and may not be fully alert or able to safely drink fluids.
D. Assisting the client with mobility is important but it may not be the first intervention performed in the PACU after ECT. The priority immediately upon admission to the PACU is to ensure the client's safety.

A. must perform other psychomotor tests to determine intoxication. B. is legally intoxicated. C. would be considered intoxicated depending on state law requirements. D. has a BAL within legal limits.

Correct Answer is B

Explanation

B. In the United States, the legal limit for blood alcohol concentration (BAC) is 0.08%. A BAC of 0.11 g/dL exceeds this limit, indicating that the client is indeed legally intoxicated.
A. Psychomotor tests, such as field sobriety tests, may be performed to assess the client's level of impairment and determine if they are intoxicated when the BAL is below threshold for intoxication.
C. State laws do not vary in this regard for the legal limit of BAC for driving; however, penalties and specific charges can vary from state to state.
D. A blood alcohol level (BAL) of 0.11 g/dL is above the legal limit for driving in many jurisdictions, where the legal limit is typically set at 0.08 g/dL.

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An outpatient client taking paroxetine states he started taking St. John's Wort. The client calls the nurse with complaints of a high fever, muscle stiffness, and sweating. The nurse should advise the client to

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Naxlex Comprehensive Predictor Exams

A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?

Correct Answer is C

Explanation

A client is seen in the Emergency Department (ED) following a motor vehicle accident. The client's blood alcohol level (BAL) is 0.11 g/dL. The nurse assesses that this client:

Correct Answer is B

Explanation

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