A female client is brought to the emergency department by her brother, who reports that she became very agitated and "started hallucinating." Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea
The brother states that his sister is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
A) Neuroleptic malignant syndrome
B) Acute dystonic reaction
C) Serotonin syndrome
D) Hypothyroidism
Ans: C
The client's symptoms, along with the use of paroxetine (a selective serotonin reuptake inhibitor [SSRI]), suggest serotonin syndrome. Neuroleptic malignant syndrome and acute dystonic reaction would occur with antipsychotic use. Hypothyroidism may result from lithium use.
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