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A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?

Dry mouth

Constipation

Insomnia

Excessive sweating

Answer and Explanation

The Correct Answer is D

A. Dry mouth is a common side effect but not a sign of serotonin syndrome.

B. Constipation is another possible side effect but is not an emergency.

C. Insomnia can occur but does not indicate serotonin syndrome.

D. This is the correct answer. Excessive sweating (along with agitation, confusion, fever, and muscle rigidity) is a sign of serotonin syndrome, a potentially life-threatening condition.

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Correct Answer is D

Explanation

A. Watery stool is not a typical sign of paralytic ileus; instead, bowel sounds are absent or hypoactive.

B. Oliguria (low urine output) is not directly related to paralytic ileus.

C. Dizziness is not a primary symptom of paralytic ileus.

D. This is the correct answer. Abdominal distention occurs due to the accumulation of gas and fluid in the intestines, which are unable to move due to ileus.

A. "You might notice some changes in your voice after the procedure." B. "You might feel a bit confused for a few hours after the procedure." C. "You'll wake up about 30 minutes after the procedure." D. "You can expect to feel some pulsations in your neck during the procedure."

Correct Answer is B

Explanation

A. ECT does not typically affect a client’s voice.

B. This is the correct answer. A common side effect of ECT is short-term confusion and memory impairment, which can last for minutes to a few hours after the procedure.

C. Most clients wake up within a few minutes, not 30 minutes.

D. Clients do not typically feel pulsations in the neck during the procedure since they are under anesthesia and muscle relaxants are used.

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A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic ileus?

Correct Answer is D

Explanation

A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?

Correct Answer is B

Explanation

A case manager is performing a home visit for a client following a stroke. The client's partner is providing care in the home. The client's partner states that she sometimes feels exhausted. Which of the following referrals should the case manager recommend for the caregiver?

A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care?

A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of precautions should the nurse initiate?

A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?

A nurse is preparing to administer medication to a client and discovers that a nurse on the previous shift gave the client a wrong dose of the medication. Which of the following actions should the nurse take?

A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?

A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?