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 D
Explanation
A. Chronic confusion r/t ECT treatment. Memory impairment may occur but is not the immediate priority.
B. Activity intolerance r/t weakness. Weakness can occur but is not the most urgent concern post-ECT.
C. Impaired social interaction r/t confusion. Social interaction is a lower priority compared to physical safety.
D. Risk for injury r/t altered mental status. Post-ECT, clients may be confused or disoriented, increasing their risk of falls or injury. Ensuring safety is the top priority.
Correct Answer is D
Explanation
A. Weight gain/loss. Weight changes (gain or loss) are common with antidepressants, particularly SSRIs and TCAs.
B. Dry mouth. Dry mouth is a well-known side effect of many antidepressants, especially tricyclic antidepressants (TCAs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
C. Insomnia. Many antidepressants, particularly SSRIs and SNRIs, can cause insomnia or increased energy levels.
D. Rash. A rash is not a common side effect of antidepressants. While allergic reactions can occur, they are not considered routine side effects.
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