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. Seeking a tutor for help with a challenging class: Seeking help for academic difficulties is a positive coping mechanism, not a warning sign of suicide.
B. Volunteering to serve food at a homeless shelter over the holidays: Volunteering is generally a sign of social engagement and purpose, which lowers suicide risk.
C. Making plans to go to a high school dance: Engaging in social activities is a protective factor against suicide, not a warning sign.
D. Displaying extreme mood swings: Sudden, extreme mood changes, especially from depression to euphoria, can be a warning sign of suicidal ideation.
Correct Answer is ["B","D"]
Explanation
A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.
B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.
C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.
D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.
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