A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse Include as a tertiary prevention strategy?

A. Distributive justice involves the fair allocation of resources and benefits to all members of society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equity in healthcare access.
B. Honesty with the parents about reporting suspected abuse is related to ethical principles such as veracity and autonomy, not distributive justice.

C. This choice involves respect for autonomy rather than distributive justice.

D. This choice relates to the ethical principle of fidelity, ensuring that promises made to clients are upheld, rather than distributive justice.

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.