Which symptoms would the nurse expect to assess in a client experiencing serotonin syndrome?
Hypotension, urinary retention, and blurred vision
Dizziness, lethargy, and headache
Hypomania, arrhythmias, and panic attacks
Confusion, restlessness, tachycardia, and diparesis
The Correct Answer is D
A. Hypotension, urinary retention, and blurred vision: These symptoms are more characteristic of anticholinergic toxicity rather than serotonin syndrome.
B. Dizziness, lethargy, and headache: These symptoms are non-specific and do not define serotonin syndrome, which involves neuromuscular, autonomic, and mental status changes.
C. Hypomania, arrhythmias, and panic attacks:. While serotonin syndrome can cause agitation, it does not cause hypomania (a mild form of mania). Arrhythmias can occur but are not a hallmark symptom.
D. Confusion, restlessness, tachycardia, and diaphoresis: Serotonin syndrome is characterized by mental status changes (confusion, agitation), autonomic instability (tachycardia, hypertension, hyperthermia), and neuromuscular abnormalities (hyperreflexia, tremors, clonus).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A 30-year-old rich man: While anyone can develop depression, wealth and younger age generally lower the risk.
B. A 70-year-old married man in a two-income household: Having a supportive spouse and financial stability generally lower depression risk in older adults.
C. A 24-year-old married woman in a single-income home: While financial stress may be a risk factor, younger married individuals tend to have more social support, reducing their overall risk.
D. A 64-year-old single woman: Older women, especially those who are single, widowed, or lacking social support, have an increased risk for depression. The risk is compounded by potential health issues and isolation.
Correct Answer is C
Explanation
A. Hypertension: Blood loss leads to hypovolemia, which usually causes hypotension, not hypertension.
B. Hypothermia: While hypothermia can occur postoperatively, it is not the most direct result of blood loss.
C. Tachycardia: Blood loss leads to decreased circulating volume, triggering tachycardia as a compensatory response to maintain oxygen delivery.
D. Bradypnea: Severe blood loss is more likely to cause tachypnea (rapid breathing) rather than slow respirations.
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