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":"C"}
Rationale:
Serotonin syndrome is a serious drug reaction that results from having too much serotonin in the body. Serotonin is a chemical that plays a role in mood, sleep, appetite and other functions. Some medications, especially antidepressants, can increase serotonin levels and cause serotonin syndrome. The client is taking paroxetine, which is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). SSRIs work by blocking the reabsorption of serotonin in the brain, making more serotonin available.
Paroxetine can cause serotonin syndrome if taken at high doses, in combination with other serotonergic drugs, or if abruptly stopped. The client’s symptoms of restlessness, abdominal pain, disorientation and fever are consistent with serotonin syndrome. Other possible symptoms include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, muscle twitching, rigidity, sweating and shivering. Severe serotonin syndrome can lead to seizures, coma and death. The client should stop taking paroxetine and seek immediate medical attention. Serotonin syndrome can be treated with supportive care and medications that reduce serotonin levels or block its effects. The client may need to switch to a different antidepressant or adjust the dosage under the guidance of their provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Milk products can exacerbate symptoms of irritable bowel syndrome in some individuals, especially those with lactose intolerance, and are generally not recommended.
B. Foods sweetened with fructose corn syrup may exacerbate symptoms of irritable bowel syndrome in some individuals and are best avoided.
C. Gluten-containing foods may trigger symptoms in individuals with irritable bowel syndrome, particularly those with gluten sensitivity or celiac disease, and should be limited or avoided as appropriate.
D. Increasing intake of foods high in bran fiber can help regulate bowel movements and alleviate symptoms of constipation, which is often a concern for individuals with irritable bowel syndrome.
Correct Answer is B
Explanation
A. Using rubbing alcohol to remove ink markings is not recommended as it can irritate the skin, especially in areas undergoing radiation therapy.
B. Altered taste sensations are a common side effect of radiation therapy, especially when the therapy is targeted near the head or neck. The nurse should inform the client about potential changes in taste perception and provide strategies to cope with them.
C. Wearing a binder over the radiation site is unnecessary and may cause discomfort or interfere with treatment.
D. Washing the skin thoroughly with a washcloth after each treatment is not necessary; gentle cleansing with mild soap and water is sufficient.
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