A patient who has been treated with fluoxetine for depression over the past several years has recently experienced several losses in his life that have led to a worsening of his depressive symptoms. At the advice of his friend, the patient started taking St. John's Wort in addition to his antidepressant. After several days of being on the medication, the patient developed fever, tachycardia, mood swings, and myoclonus. The admitting nurse is aware that the patient is most likely experiencing:.
An allergic reaction to St. John's Wort.
Serotonin syndrome.
Neuroleptic malignant syndrome.
An expected side effect of St. John's Wort.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is D
Explanation
A. Panic. Panic-level anxiety typically involves extreme fear and severe physical symptoms such as palpitations, sweating, trembling, and a sense of impending doom. The client's reported symptoms (chest pain, headache, shortness of breath) do not align with the intense nature of panic anxiety.
B.Mild. Mild anxiety is characterized by heightened awareness and alertness. The client's symptoms and statement about his wife leaving him suggest more than mild anxiety as they indicate emotional distress beyond simple alertness.
C.Moderate. Moderate anxiety is associated with increased muscle tension, restlessness, and impaired concentration. Moderate anxiety (choice C) is characterized by increased alertness and decreased concentration but is manageable with support.
D. Severe anxiety significantly impairs daily functioning. It can cause physical symptoms such as chest pain, shortness of breath, and headaches. The client’s presentation aligns with severe anxiety, given the impact on his well-being.
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