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 C
Explanation
A. Taking all medications together can increase the risk of drug interactions, especially with warfarin’s narrow therapeutic index.
B. Cranberry juice can increase the anticoagulant effect of warfarin, raising bleeding risk.
C. Consulting the pharmacist ensures a thorough review of potential drug–drug or drug–food interactions, crucial for warfarin therapy management and client safety.
D. Over-the-counter medications (e.g., NSAIDs, aspirin, certain herbal supplements) can potentiate bleeding and should be used only with provider approval.
Correct Answer is D
Explanation
A. “Client in room 302 has had high blood glucose levels.” This statement lacks specific data (values, trends, or interventions) and is too vague to be useful.
B. “Client in room 304 is here because they are seeking narcotics.” This is a judgmental and non-objective statement, violating professional communication standards.
C. "Client in room 303 takes too many medications for their condition." This is subjective and unprofessional; only factual data should be reported.
D. “Client in room 301 is in the cardiac catheterization laboratory.” Objective, relevant information about the client’s current location, procedures, and treatments should be included in a shift report to ensure continuity of care.
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