A nurse is caring for a client at a clinic.
Complete the following sentence by using the lists of options.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine.
Rationale:
Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity, often from SSRIs or interactions with other serotonergic medications.
This client recently had fluoxetine discontinued and paroxetine started at 10 mg, then increased to 30 mg daily. Rapid dose increases or overlapping serotonergic effects increase the risk of serotonin syndrome.
Manifestations such as restlessness, abdominal pain, disorientation, and fever are classic early signs of serotonin syndrome.
Mania: There is no history of bipolar disorder or manic episodes; current symptoms are not consistent with mania.
Psychosis: No hallucinations, delusions, or disorganized thinking noted, making psychosis less likely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Percussion is performed before palpation but after auscultation to prevent altering bowel sounds.
B. Palpation is the final step in abdominal assessment because it can stimulate bowel activity, changing the characteristics of bowel sounds. The correct sequence is: Inspection → Auscultation → Percussion → Palpation.
C. Auscultation occurs before percussion and palpation to assess bowel sounds accurately without interference.
D. Inspection is always performed first to observe for contour, symmetry, scars, or distention before any manipulation of the abdomen.
Correct Answer is A
Explanation
A. The ointment should be spread in a thin, even layer on a hairless area (e.g., chest, upper arm) using the applicator to ensure consistent absorption.
B. The ointment should not be massaged, as this can alter absorption rate and cause hypotension.
C. Application sites should be rotated to prevent irritation; the forearm is not optimal due to thinner skin.
D. The prescription schedule depends on provider instructions, typically every 6–12 hours with a nitrate-free period to prevent tolerance.
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