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A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort.
Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.

Blood pressure

Suicidal ideations.

Tinnitus and jerking movements.

Dilated pupils and loss of muscle coordination.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Pill rolling movements and drooling are symptoms of Parkinson’s disease, not serotonin syndrome.

Choice B rationale:

Suicidal ideations are a serious mental health concern, but they are not a symptom of serotonin syndrome.

Choice C rationale:

Tinnitus and jerking movements can be symptoms of various conditions, but they are not typically associated with serotonin syndrome.

Choice D rationale:

Dilated pupils and loss of muscle coordination are symptoms of serotonin syndrome, which can occur due to an excess of serotonin, often as a result of a combination of medications.

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Correct Answer is A

Explanation

Choice A rationale:

Asking the client about the lethality of their plan is the most appropriate action. This allows the nurse to assess the immediate risk to the client’s safety.

Choice B rationale:

Encouraging the client to focus on the positive aspects of life may be helpful in some situations, but it does not address the immediate safety concern.

Choice C rationale:

Reassuring the client that everything is going to work out may provide temporary relief, but it does not address the immediate safety concern.

Choice D rationale:

Allowing the client time alone to self-reflect is not appropriate in this situation as it could increase the risk of self-harm.

A. Spiritual advisor. B. Expect some swelling in the hands and feet. C. Take aspirin for headaches. D. Eat foods that contain plenty of potassium.

Correct Answer is C

No explanation

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A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.

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A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.

A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort.
Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.