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 ["255"]
Explanation
To calculate:
4,080 mL ÷ 2 = 2,040 mL
2,040 mL ÷ 8 hours = 255 mL/hr.
Thus, the nurse should set the IV infusion pump to deliver 255 mL/hr.
Correct Answer is C
Explanation
A. Increased intake of milk products can exacerbate symptoms of irritable bowel syndrome in some clients.
B. Fructose corn syrup can worsen symptoms and is not recommended for clients with IBS.
C. Foods high in bran fiber are often recommended for IBS as they can help with bowel regularity and reduce symptoms.
D. Gluten is not beneficial for IBS and should be avoided if the client has gluten sensitivity.
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