A nurse is caring for a client at a clinic.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing
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due to
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine.

Rationale

Serotonin syndrome is a potentially life-threatening condition that occurs when there is an excess of serotonin in the central nervous system, often as a result of taking certain medications, particularly selective serotonin reuptake inhibitors (SSRIs) like paroxetine.

Adverse effects of paroxetine:

The client was recently switched from fluoxetine (another SSRI) to paroxetine, and has had their dose increased from 10 mg to 30 mg. This may lead to an increase in serotonin levels, which, if excessive, could trigger serotonin syndrome. The client’s current symptoms, including restlessness, abdominal pain, disorientation, and fever, are indicative of potential serotonin syndrome, which is often accompanied by agitation, hyperreflexia, tremors, and autonomic dysregulation (e.g., fever, tachycardia, hypertension).

Nursing Test Bank

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Correct Answer is A

Explanation

A. Dextrose 10% in water is commonly used to prevent hypoglycemia in patients receiving TPN if the TPN infusion is running low and a new bag isn't available immediately.
B. Discontinuing the infusion could lead to nutritional deficiencies or glucose instability.
C. Slowing the infusion rate does not solve the issue of a soon-to-be-depleted TPN bag and may cause fluid imbalance.
D. Lactated Ringer's solution is not a substitute for the nutritional requirements provided by TPN.

A. Platelet count B. Fibrinogen level C. INR D. aPTT

Correct Answer is C

Explanation

A. Platelet count is important for assessing clotting, but INR is more relevant for monitoring warfarin therapy.
B. Fibrinogen levels are not the primary measure for warfarin management.
C. The INR (International Normalized Ratio) is the key test used to adjust warfarin dosing, as it measures the clotting tendency.
D. aPTT is useful for monitoring heparin therapy, not warfarin.

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A nurse is caring for a client at a clinic. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developingdropdowndue todropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The bag has 20 mL remaining to infuse, but a new bag is not readily available. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?

Correct Answer is C

Explanation

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?

A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client?

A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism?

A nurse is caring for a client at a clinic.

Exhibits

Complete the following sentence by using the lists of options. The client is at risk for developing
dropdown
due to
dropdown