The patient has been receiving escitalopram (Lexapro) for treatment of obsessive-compulsive disorder. Unknown to the nurse, the patient has also been self-medicating with St. John's wort. The patient comes to the office with symptoms of hyperthermia and diaphoresis. Which statement best describes the result of the nurse's assessment?
1. The patient is experiencing symptoms of St. John's wort toxicity, as the medication was most likely outdated.
2. The patient has contracted a viral infection. Escitalopram (Lexapro) and St. John's wort are safe to take together.
3. The patient has not been taking escitalopram (Lexapro) and is experiencing withdrawal.
4. The patient has combined two antidepressant medications and is experiencing serotonin syndrome.
4
Rationale 1: The patient's symptoms are consistent with a different syndrome, and there is no evidence that the patient's St. John's wort is outdated.
Rationale 2: It is not considered safe to combine escitalopram (Lexapro) and St. John's wort.
Rationale 3: There is no evidence that the patient has not been taking the escitalopram (Lexapro).
Rationale 4: Use caution with herbal supplements such as St. John's wort, which may increase the effects of escitalopram (Lexapro) and cause serotonin syndrome. The patient's symptoms are consistent with serotonin syndrome.
Global Rationale: Use caution with herbal supplements such as St. John's wort, which may increase the effects of escitalopram (Lexapro) and cause serotonin syndrome. The patient's symptoms are consistent with serotonin syndrome, and there is no evidence that the patient has not been taking the escitalopram (Lexapro). The patient's symptoms are consistent with serotonin syndrome, and there is no evidence that the patient's St. John's wort is outdated. The patient's symptoms are consistent with serotonin syndrome. It is not considered safe to combine escitalopram (Lexapro) and St. John's wort.
You might also like to view...
An older client returning to the postoperative nursing unit after a hip replacement is disoriented and restless. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply an abduction pillow to the client's legs. b. Assess the skin under the abduction pillow straps. c. Place pillows under the heels to keep them off the bed. d. Monitor cognition to determine when the client can get up. e. Take and record vital signs per unit/facility policy.
Under which grouping of human response patterns would the nursing diagnosis of Powerlessness be found?
a. choosing b. communicating c. perceiving d. relating
The patient is experiencing angina pectoris. Which assessment finding does the nurse expect when conducting a history and physical examination?
a. Experiences chest pain after eating a heavy meal b. Experiences adequate oxygen saturation during exercise c. Experiences crushing chest pain for more than 20 minutes d. Experiences tingling in the left arm that lasts throughout the morning
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding preprocedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP?
a. Use of tobacco b. Physical activities c. Salt intake d. Fluid intake