A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Tinnitus and jerking movements

Pill rolling movements and drooling

Suicidal ideations

Dilated pupils and loss of muscle coordination

Answer and Explanation

The Correct Answer is D

A. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.

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Correct Answer is B

Explanation

A. Feeling a sense of power by restricting food intake is more indicative of anorexia nervosa rather than bulimia nervosa.

B. This statement is indicative of bulimia nervosa because individuals with this eating disorder often experience a cycle of bingeing (eating large amounts of food in a short period) and purging (attempting to rid oneself of the food consumed during the binge). The "emotional high" can be associated with the temporary relief from negative emotions that bingeing provides, followed by purging to mitigate guilt and maintain body weight.

C. While secrecy about bingeing and purging behaviors is common in bulimia nervosa, the statement does not explicitly mention the emotional aspect during these episodes, which is a key feature of the disorder.

D. Using laxatives only when constipated does not necessarily indicate bulimia nervosa. Individuals with bulimia nervosa often use laxatives as part of their purging behavior.

A. Schizotypal personality disorder B. Schizoid personality disorder C. Antisocial personality disorder D. Paranoid personality disorder

Correct Answer is B

Explanation

A. Schizotypal personality disorder involves odd beliefs and behaviors but not necessarily a lack of interest in sexual activity or relationships.

B. Schizoid personality disorder is characterized by a lack of interest in social relationships and sexual activity, reflecting a preference for solitary activities and limited emotional expression.

C. Antisocial personality disorder involves a pattern of disregard for the rights of others, not necessarily a lack of interest in sexual activity or relationships.

D. Paranoid personality disorder involves pervasive distrust and suspicion, which does not directly relate to a lack of interest in sexual activity or relationships.

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A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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