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 A
Explanation
Choice A rationale:
A necklace is not a risk as it does not pose a threat to the client’s safety.
Choice B rationale:
Lace-up tennis shoes are allowed as they do not pose a risk to the client’s safety.
Choice C rationale:
Nylon socks are allowed as they do not pose a risk to the client’s safety.
Choice D rationale:
Cotton underwear is allowed as it does not pose a risk to the client’s safety.
Choice E rationale:
A glass-framed picture should be taken back home as it can be broken and potentially used to harm oneself.
Correct Answer is A
Explanation
Choice A rationale:
A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
Choice B rationale:
A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.
Choice C rationale:
A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.
Choice D rationale:
A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.
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