A nurse is caring for a client with OCD who is taking fluoxetine (Prozac). The nurse should monitor the client for which adverse effect of this medication?
Extrapyramidal symptoms
Serotonin syndrome
Neuroleptic malignant syndrome
Anticholinergic crisis.
The Correct Answer is B
This is because fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) that can increase the level of serotonin in the brain. Serotonin syndrome is a potentially life-threatening condition that occurs when there is too much serotonin in the body. It can cause symptoms such as agitation, confusion, tremors, muscle rigidity, fever, and seizures.
Choice A is wrong because extrapyramidal symptoms are more commonly associated with antipsychotic medications, not SSRIs. Extrapyramidal symptoms include involuntary movements, muscle spasms, and restlessness.
Choice C is wrong because neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, not SSRIs. Neuroleptic malignant syndrome causes high fever, muscle rigidity, altered mental status, and autonomic instability.
Choice D is wrong because anticholinergic crisis is a result of excessive blockade of acetylcholine receptors by medications such as antihistamines, tricyclic antidepressants, and antiparkinsonian drugs. Anticholinergic crisis can cause dry mouth, blurred vision, urinary retention, constipation, tachycardia, and delirium.
The normal range of serotonin in the blood is 101 to 283 ng/mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) that can increase the level of serotonin in the brain. Serotonin syndrome is a potentially life-threatening condition that occurs when there is too much serotonin in the body. It can cause symptoms such as agitation, confusion, tremors, muscle rigidity, fever, and seizures.
Choice A is wrong because extrapyramidal symptoms are more commonly associated with antipsychotic medications, not SSRIs. Extrapyramidal symptoms include involuntary movements, muscle spasms, and restlessness.
Choice C is wrong because neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, not SSRIs. Neuroleptic malignant syndrome causes high fever, muscle rigidity, altered mental status, and autonomic instability.
Choice D is wrong because anticholinergic crisis is a result of excessive blockade of acetylcholine receptors by medications such as antihistamines, tricyclic antidepressants, and antiparkinsonian drugs. Anticholinergic crisis can cause dry mouth, blurred vision, urinary retention, constipation, tachycardia, and delirium.
The normal range of serotonin in the blood is 101 to 283 ng/mL.
Correct Answer is ["A","B"]
Explanation
According to the web search results, prazosin (Minipress) is an alpha-1 adrenergic blocker that can help reduce nightmares and insomnia in clients with PTSD by blocking the effects of norepinephrine. It can also lower blood pressure by causing vasodilation, so clients should change positions slowly to prevent orthostatic hypotension.
Choice C is wrong because prazosin does not increase appetite or cause weight gain.
Choice D is wrong because prazosin does not cause dry mouth, but rather nasal congestion.
Choice E is wrong because prazosin does not cause drowsiness, but rather insomnia in some clients.
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