The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?
Give the client two aspirin tablets and monitor his headache and heart rate
Notify the physician immediately
Notify the physician when convenient
Reassure the client that these are common side effects of his medication
The Correct Answer is B
B. This is the correct priority action. Serotonin syndrome can be life-threatening if not promptly recognized and treated. The physician needs to be notified immediately so that appropriate actions can be taken to manage the client's symptoms and potentially adjust the medication regimen.
A. Aspirin is not appropriate for treating serotonin syndrome. Monitoring the client's symptoms is important, but this action does not address the potential seriousness of the symptoms described.
C. Delaying notification could lead to worsening of symptoms and potential complications. Given the potential seriousness of serotonin syndrome, waiting until it's convenient is not appropriate.
D. While headache, palpitations, and stiffness could potentially be side effects of antidepressant medication, the combination of these symptoms raises concern for serotonin syndrome, which requires immediate medical attention rather than reassurance alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Body image disturbance is a fundamental issue in anorexia nervosa. Adolescents with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when significantly underweight. This distorted body image drives their obsessive behaviors around food restriction and excessive exercise in an attempt to achieve an unrealistic and unhealthy body image.
A. While adolescents with anorexia may exhibit behaviors related to food restriction, excessive exercise, or other rituals, the core issue goes beyond simply adhering to appropriate behavior. Anorexia nervosa is driven by deep-seated fears, anxieties, and perceptions related to body image and weight.
B. Control is a central issue in anorexia nervosa. Adolescents often use strict control over food intake and exercise as a way to manage overwhelming feelings of anxiety, fear, and uncertainty. By controlling their food intake and weight, individuals with anorexia may seek to regain a sense of mastery and control over their lives amidst other stressors.
C. Anxiety is a common comorbidity in individuals with anorexia nervosa, but it is not the primary issue. Anxiety often stems from fears related to weight gain, body image dissatisfaction, and the perceived loss of control. Anxiety exacerbates the obsessive thoughts and behaviors around food and weight seen in anorexia nervosa.
Correct Answer is ["A","C","D","E"]
Explanation
A. Purging is a behavior associated with bulimia nervosa, where individuals engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas to compensate for binge eating episodes.
C. Night eating disorder is characterized by recurrent episodes of night eating, typically waking up from sleep to consume food, often accompanied by a lack of appetite in the morning and a significant portion of daily caloric intake occurring after the evening meal.
D. Pica is a disorder characterized by persistent eating of non-nutritive substances, such as clay, dirt, chalk, or paper. Pica involves eating non-food substances and is recognized as an eating disorder due to the potential harm it can cause.
F. Binge eating disorder involves recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control over eating behavior. Unlike bulimia nervosa, individuals with binge eating disorder do not engage in purging behaviors.
B. Cataplexy is a symptom of narcolepsy, characterized by sudden episodes of muscle weakness or loss of muscle tone, often triggered by strong emotions.
E. Nocturnal myoclonus, also known as periodic limb movement disorder, involves involuntary muscle contractions or jerks during sleep, which can disrupt sleep but is not related to eating behaviors.
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