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. Polyuria B. Delirium C. Osteoporosis D. Anxiety and depression

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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