A confused client has recently been prescribed sertraline (Zoloft). The client's spouse is taking paroxetine (Paxil). The client presents with restlessness, tachycardia, diaphoresis, and tremors
What complication does a nurse suspect, and what could be its possible cause? A. Neuroleptic malignant syndrome caused by ingestion of two different serotonin reuptake inhibitors (SSRIs)
B. Neuroleptic malignant syndrome caused by ingestion of an SSRI and a monoamine oxidase inhibitor (MAOI)
C. Serotonin syndrome caused by ingestion of an SSRI and an MAOI
D. Serotonin syndrome caused by ingestion of two different SSRIs
D
The nurse should suspect that the client is suffering from serotonin syndrome possibly caused by ingesting two different SSRIs (Zoloft and Paxil). Symptoms of serotonin syndrome include confusion, agitation, tachycardia, hypertension, nausea, abdominal pain, myoclonus, muscle rigidity, fever, sweating, and tremor.
You might also like to view...
The depressed patient with AIDS says, "I don't understand why I am going to be getting doses of testosterone. What good will that do me now?" What should the nurse keep in mind about testosterone when responding?
a. It can lower viral load b. It can lighten depression c. It can increase lean body mass d. It can increase appetite
A 57-year-old patient is to receive metoclopramide (Reglan) for nausea. What statement by the patient leads the nurse to believe that the patient has understood the nurse's teaching?
A) "During episodes of nausea, I will drink clear liquids." B) "I may be drowsy as a result of taking this medication." C) "This medication should be taken on a full stomach." D) "I will need to take supplemental potassium while I am taking this medication."
Which chemotherapy agents in this list have a high emetogenic potential? (select all that apply)
a. Busulfan (Myleran) b. Capecitabine (Xeloda) c. Dactinomycin (Cosmegen) d. Floxuridine (FUDR) e. Melphalan (Alkeran) f. Mitoxantrone (Novantrone) g. Thiotepa (Thioplex) h. Vincristine (Oncovin)
The most likely time to develop pregnancy-related venous thromboembolism is in the third trimester
Indicate whether the statement is true or false.