The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?
Give the client two aspirin tablets and monitor his headache and heart rate
Notify the physician immediately
Notify the physician when convenient
Reassure the client that these are common side effects of his medication
The Correct Answer is B
B. This is the correct priority action. Serotonin syndrome can be life-threatening if not promptly recognized and treated. The physician needs to be notified immediately so that appropriate actions can be taken to manage the client's symptoms and potentially adjust the medication regimen.
A. Aspirin is not appropriate for treating serotonin syndrome. Monitoring the client's symptoms is important, but this action does not address the potential seriousness of the symptoms described.
C. Delaying notification could lead to worsening of symptoms and potential complications. Given the potential seriousness of serotonin syndrome, waiting until it's convenient is not appropriate.
D. While headache, palpitations, and stiffness could potentially be side effects of antidepressant medication, the combination of these symptoms raises concern for serotonin syndrome, which requires immediate medical attention rather than reassurance alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. This stage follows the acute phase of illness and involves efforts to restore functioning, improve quality of life, and regain independence through therapies such as physical therapy, occupational therapy, and speech therapy. Returning to work is a significant milestone in this phase, indicating progress in functional recovery.
A. This stage typically involves initial diagnosis, treatment, and acute management of the illness or condition. It focuses on stabilizing the patient's health and addressing immediate medical needs.
C. This stage emphasizes maintaining health and preventing recurrence or complications once the acute phase and recovery are complete. It involves strategies such as regular check-ups, lifestyle modifications, and adherence to health-promoting behaviors.
D. This stage typically refers to the closure of formal medical or rehabilitative services when the patient no longer requires ongoing professional intervention for the condition.
Correct Answer is D
Explanation
D. When someone assumes the sick role, society typically grants them permission to prioritize their health and well-being. This often includes being excused from work, school, or other responsibilities to focus on recovery. Rest is an important aspect of recuperation during illness.
A. When someone assumes the sick role, their engagement in social responsibilities typically decreases or is temporarily suspended. This is because the focus shifts towards managing the illness, seeking treatment, and recovering. Social interactions may be reduced due to physical limitations or the need to avoid spreading illness to others.
B. Denial of illness is not characteristic of assuming the sick role. Assuming the sick role involves acknowledging and recognizing the presence of illness, which prompts seeking medical attention and adopting behaviors conducive to recovery.
C. On the contrary, assuming the sick role often involves a change in duties and responsibilities. The individual may need to delegate tasks or take a break from their usual obligations to focus on recuperation and treatment.
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