A nurse is caring for a client at a clinic.
Complete the following sentence by using the lists of options.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine.
Rationale:
Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity, often from SSRIs or interactions with other serotonergic medications.
This client recently had fluoxetine discontinued and paroxetine started at 10 mg, then increased to 30 mg daily. Rapid dose increases or overlapping serotonergic effects increase the risk of serotonin syndrome.
Manifestations such as restlessness, abdominal pain, disorientation, and fever are classic early signs of serotonin syndrome.
Mania: There is no history of bipolar disorder or manic episodes; current symptoms are not consistent with mania.
Psychosis: No hallucinations, delusions, or disorganized thinking noted, making psychosis less likely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased BUN is not expected in preeclampsia. Instead, renal impairment can cause BUN and creatinine to increase due to decreased kidney perfusion.
B. Serum uric acid typically increases in preeclampsia as a result of reduced renal clearance; a decreased value would not be expected.
C. Increased protein in urine (proteinuria) is a hallmark sign of preeclampsia, reflecting glomerular damage and impaired renal function. It is used diagnostically in conjunction with elevated blood pressure and edema.
D. Increased platelet count is incorrect because preeclampsia often causes thrombocytopenia due to platelet aggregation and consumption within damaged vessels.
Correct Answer is B
Explanation
A. Tenting of the skin suggests dehydration, not fluid overload.
B. A respiratory rate of 30/min indicates tachypnea, which can occur due to pulmonary congestion and decreased gas exchange from fluid overload. Other signs may include crackles, dyspnea, elevated blood pressure, and jugular vein distension.
C. A heart rate of 60/min is normal; fluid overload typically causes tachycardia as the body compensates for increased volume and decreased oxygenation.
D. Warm, dry skin is a normal finding and does not indicate excess fluid volume.
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