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":"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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tucking the chin toward the chest (not lifting the chin) may help improve swallowing by narrowing the airway, making it easier to swallow and reducing the risk of aspiration.
B.This positioning makes it easier for the nurse to observe signs of dysphagia, offer assistance as needed, and maintain better eye contact with the client. It also helps promote a more relaxed and reassuring environment, which can improve the client’s ability to swallow.
C. Talking during feeding can increase the risk of aspiration and compromise safe swallowing.
D. Coughing during feedings should not be discouraged, as it may indicate that the client is attempting to clear the airway and should be monitored carefully.
Correct Answer is A
Explanation
A. This prescription is complete because it includes the medication name (Digoxin), the dosage (0.25 mg), the route (PO, meaning by mouth), and the frequency (daily). This is a fully clear and complete prescription.
B. This prescription is incomplete because it lacks the dosage for Cimetidine. The nurse cannot confirm the correct amount of the medication to administer without the dosage.
C. While the medication name, dosage (150 units/kg), and frequency (three times weekly) are included, the route is missing. Epoetin alfa can be given via different routes (subcutaneously or intravenously), so the route must be specified.
D. This prescription is incomplete because it lacks both the dosage form and the frequency. It states "200 mg PO," but it does not specify whether this is a one-time dose or if it is to be given daily, which makes it unclear.
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