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?.
Blood pressure
Suicidal ideations.
Tinnitus and jerking movements.
Dilated pupils and loss of muscle coordination.
The Correct Answer is D
Choice A rationale:
Pill rolling movements and drooling are symptoms of Parkinson’s disease, not serotonin syndrome.
Choice B rationale:
Suicidal ideations are a serious mental health concern, but they are not a symptom of serotonin syndrome.
Choice C rationale:
Tinnitus and jerking movements can be symptoms of various conditions, but they are not typically associated with serotonin syndrome.
Choice D rationale:
Dilated pupils and loss of muscle coordination are symptoms of serotonin syndrome, which can occur due to an excess of serotonin, often as a result of a combination of medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Correct Answer is C
Explanation
Choice A rationale:
Avoiding foods that contain tyramine is important when taking monoamine oxidase inhibitors, not antipsychotics like clozapine.
Choice B rationale:
Limiting fluid intake is not typically necessary when taking antipsychotics.
Choice C rationale:
Medication adherence after the resolution of acute psychosis is crucial when taking antipsychotics to prevent relapse.
Choice D rationale:
Routine red blood cell count laboratory work is not typically necessary when taking antipsychotics like clozapine.
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