Which of the following medications can cause serotonin syndrome?
Ibuprofen (NSAID)
Acetaminophen (Antipyretic)
Venlafaxine (SNRI)
Lisinopril (ACE)
The Correct Answer is C
A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.
B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.
C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.
D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weight loss: Antipsychotics are more commonly associated with weight gain, particularly atypical antipsychotics like olanzapine and clozapine.
B. Headache: While headaches may occur, they are not among the most common side effects of antipsychotics.
C. Dry mouth: Antipsychotics often cause dry mouth due to their anticholinergic effects. Other anticholinergic side effects include constipation and blurred vision.
D. Insomnia: Antipsychotics are more likely to cause sedation rather than insomnia, particularly first-generation agents like chlorpromazine.
Correct Answer is B
Explanation
A. Polyuria: COPD with chronic respiratory acidosis is not associated with excessive urine production. Instead, clients may experience fluid retention due to right-sided heart failure (cor pulmonale).
B. Delirium: Chronic respiratory acidosis leads to CO₂ retention, which can cause confusion, drowsiness, and even delirium due to cerebral vasodilation and altered mental status.
C. Osteoporosis: While COPD patients may have osteoporosis due to steroid use or inactivity, it is not a direct effect of chronic respiratory acidosis.
D. Anxiety and depression: While common in COPD due to lifestyle limitations, anxiety and depression are not direct physiological effects of respiratory acidosis.
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