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 A

Explanation

A. The Clinical Opiate Withdrawal Scale (COWS) is used to assess the severity of withdrawal symptoms in clients. This assessment helps guide treatment decisions based on the intensity of symptoms.

B. The COWS does not identify genetic factors but focuses on the clinical presentation of withdrawal symptoms.

C. The COWS does not specifically determine the risk of developing severe manifestations but rather assesses current symptom severity.

D. The COWS does not involve analyzing laboratory or imaging data but rather evaluates withdrawal symptoms through clinical observation.

A. The client will record attendance in community support groups. B. The client will not participate in any gambling activities for the next 30 days. C. The client provides a list of 10 people whom they consider to be supportive. D. The client will call a support person when feeling stressed.

Correct Answer is B

Explanation

A. Recording attendance in support groups is beneficial but does not set a specific behavioral goal.

B. Setting a specific, measurable goal like abstaining from gambling for 30 days is a clear, quantifiable objective for behavior change.

C. Listing supportive people is helpful but does not provide a measurable behavior change goal.

D. Calling a support person when stressed is a good strategy but is not a specific measurement for stopping gambling.

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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

A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. When assessing the client, which of the following purposes describes the function of the Clinical Opiate Withdrawal Scale (COWS)?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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