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

Answer and Explanation

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).

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Correct Answer is A

Explanation

A. "My fraternal grandfather was diagnosed with Depression.": Family history is a significant risk factor for major depressive disorder (MDD), supporting the genetic etiology.

B. "It makes me so sad when I think about the fact my grandmother died.": This statement describes a situational response to grief, not a genetic predisposition to depression.

C. “I feel like I just can't do anything right.”: This reflects a cognitive distortion associated with depression but does not indicate a genetic cause.

D. "My mood is 7 out of 10 today.": This provides information about current emotional state rather than genetic risk factors.

A. The client will verbalize 3 positive attributes about themselves by day 3 B. The client will perform personal hygiene with no prompting C. The client will attend group by day 2 D. The client will remain free from injury for duration of their hospitalization

Correct Answer is D

Explanation

A. The client will verbalize 3 positive attributes about themselves by day 3. This is a good long-term goal but does not directly prevent self-harm.

B. The client will perform personal hygiene with no prompting. Improved self-care is beneficial but is not the primary priority in suicide prevention.

C. The client will attend group by day 2. Participation in therapy is helpful, but ensuring physical safety takes precedence.

D. The client will remain free from injury for the duration of their hospitalization. The most critical goal for a client at risk for suicide is preventing self-harm, making this the priority outcome.

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Which symptoms would the nurse expect to assess in a client experiencing serotonin syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client statement is evidence of the etiology of major depressive disorder from a genetic perspective?

Correct Answer is A

Explanation

A client has a diagnosis of risk for suicide r/t a past attempt. Which of the following outcome should the nurse prioritize?

Correct Answer is D

Explanation

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