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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Asthma is not a contraindication for niacin therapy.
B. This is the correct answer. Niacin can cause hepatotoxicity and is contraindicated in clients with active liver disease.
C. Hyperthyroidism is not directly affected by niacin use.
D. High blood pressure is a precaution but not an absolute contraindication.
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