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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Illness anxiety disorder involves excessive worry about having a serious illness, but it does not typically involve the intentional production of symptoms.
B. Functional neurological symptom disorder (also known as conversion disorder) involves neurological symptoms without a medical cause, but it does not involve the intentional production of symptoms.
C. Factitious disorder involves deliberately producing or exaggerating symptoms for the purpose of assuming a sick role, as described by the client wanting to feel like the center of a medical drama.
D. Somatic symptom disorder involves significant focus on physical symptoms, but the symptoms are not intentionally produced.
Correct Answer is C
Explanation
A. Hepatitis B is a viral infection and is not directly related to environmental allergens or asthma triggers.
B. Radon is a radioactive gas that can cause lung cancer, not asthma or allergies.
C. Mold can trigger asthma symptoms and allergic reactions, so it should be avoided.
D. While certain types of paint, especially older paints containing lead, can pose health risks, they primarily affect the nervous system and can lead to lead poisoning. They do not directly trigger the respiratory symptoms associated with asthma or allergies.
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