A nurse in the emergency department is caring for a client who has serotonin syndrome. The nurse should assess the client for which of the following manifestations?
Priapism
Bradycardia
Hyperpyrexia
Paresthesia
The Correct Answer is C
Choice A reason: Priapism is not a typical symptom of serotonin syndrome. It may occur with certain medications but is unrelated to serotonin toxicity.
Choice B reason: Bradycardia is not characteristic of serotonin syndrome. Tachycardia is more common due to autonomic hyperactivity.
Choice C reason: Hyperpyrexia (extremely high fever) is a hallmark of severe serotonin syndrome. It reflects autonomic instability and requires immediate intervention.
Choice D reason: Paresthesia may occur but is not a defining feature. Neuromuscular symptoms like clonus and hyperreflexia are more indicative.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
Choice A reason: Standing directly in front of an agitated client may escalate the situation by invading personal space and increasing perceived threat.
Choice B reason: Restraints should only be used as a last resort when there is imminent danger. De-escalation techniques should be attempted first.
Choice C reason: Speaking loudly can increase agitation. A calm, low tone is preferred to reduce tension.
Choice D reason: Identifying stressors helps the nurse understand triggers and tailor de-escalation strategies effectively.
Choice E reason: Using short, simple sentences reduces cognitive overload and promotes clarity during agitation.
Correct Answer is D
Explanation
Choice A reason: Equal time allocation is part of equitable care but does not reflect advocacy, which involves active representation of client interests.
Choice B reason: Providing emotional support is compassionate but not advocacy unless it involves acting on the client’s behalf.
Choice C reason: Educating clients is essential but is a standard nursing role. Advocacy involves going beyond education to ensure client preferences are honored.
Choice D reason: Speaking on behalf of the client to ensure their treatment preferences are respected exemplifies advocacy. It protects autonomy and supports informed decision-making.
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