What is an appropriate nursing intervention for a patient experiencing serotonin syndrome?
Monitoring vital signs and neurologic status frequently
Administering flumazenil
Administering a benzodiazepine to manage agitation
Encouraging the patient to increase their SSRI dosage
The Correct Answer is A
Choice A reason: Frequent monitoring of vital signs and neurologic status is essential in serotonin syndrome because the condition can rapidly progress to life-threatening complications such as hyperthermia, seizures, and cardiovascular instability. Early detection of worsening symptoms allows timely intervention.
Choice B reason: Flumazenil is a benzodiazepine antagonist used to reverse benzodiazepine overdose. It has no role in serotonin syndrome management and could worsen agitation or seizures.
Choice C reason: Benzodiazepines may be used in severe cases to control agitation or seizures, but the first and most appropriate nursing intervention is close monitoring to detect progression. This makes benzodiazepines supportive but not the primary intervention.
Choice D reason: Encouraging the patient to increase their SSRI dosage would worsen serotonin syndrome, as the condition is caused by excessive serotonergic activity. This option is dangerous and contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason:
The fasting blood glucose is slightly elevated but improving. For a client with type 2 diabetes, this level is not immediately dangerous and can be managed with current treatment.
Choice B reason:
Magnesium is below normal. Low magnesium can cause heart rhythm problems and worsen diabetes control, so it requires prompt follow-up.
Choice C reason:
The heart rate is normal at 72/min. No immediate concern is present here.
Choice D reason:
Blood pressure is high at 146/82 mmHg, which indicates hypertension. This increases risk for heart disease and stroke, so it needs urgent attention.
Choice E reason:
BMI is 33, which indicates obesity. While not an acute emergency, it is a major health issue linked to diabetes and hypertension, requiring provider follow-up.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Amenorrhea is common in adolescents with eating disorders due to low body fat and hormonal disruption.
Choice B reason: Bradycardia occurs as a physiological adaptation to malnutrition and decreased metabolic demand.
Choice C reason: Altered body image is a hallmark psychological manifestation of eating disorders, where clients perceive themselves as overweight despite being underweight.
Choice D reason: Hyperactivity is not a typical manifestation of anorexia nervosa. Clients often experience fatigue and weakness due to malnutrition.
Choice E reason: Clients with eating disorders usually verbalize a desire to lose weight, not gain weight. This option is inconsistent with the condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
