A neonate is born to a patient who reports taking venlafaxine (Effexor XR). The nurse caring for the infant will observe the infant for:
a. irritability, tremor, and respiratory distress.
b. poor appetite and disturbed sleeping patterns.
c. serotonin syndrome.
d. sustained mydriasis.
ANS: A
Use of venlafaxine late in pregnancy can result in a neonatal withdrawal syndrome characterized by irritability, abnormal crying, tremor, respiratory distress, and possibly seizures. Poor appetite and disturbed sleep are not part of this withdrawal syndrome. Serotonin syndrome is not likely. Sustained mydriasis occurs as an adverse effect in patients taking the drug.
You might also like to view...
What are the American Nurses Association Code of Ethics and Interpretive Statements?
A) Outlines minimum levels of ethical behavior that nurses must maintain B) Functions as a guide to the highest standards of ethical practice for nurses C) Is a legally binding document D) Mandates the ethical behavior prerequisite for nursing licensure
A client with hypoparathyroidism has a low serum calcium level. In order to test for the clinical manifestation consistent with this laboratory result, the nurse would: Select all that apply
1. Tap over the facial nerve of the client. 2. Place a tourniquet on the client's arm. 3. Have the client open and close both hands. 4. Ask the client to count backwards. 5. Press lightly on the client's shoulders.
Which adrenergic receptor, when stimulated, inhibits norepinephrine release?
A) Beta-1 B) Alpha-1 C) Alpha-2 D) Beta-2
Which function of play is a major component of play at all ages?
a. Creativity c. Intellectual development b. Socialization d. Sensorimotor activity