Author Question: The nurse notes that a patient who has been receiving paroxetine (Paxil) for symptoms of major ... (Read 100 times)

Tirant22 · **on:** Jul 19, 2018

The nurse notes that a patient who has been receiving paroxetine (Paxil) for symptoms of major depression begins to behave in a confused and elated manner with the presence of restlessness, muscle jerking, and diaphoresis.

The nurse should assess these symptoms as probable:
a. Neuroleptic malignant syndrome
b. Anticholinergic blockade
c. Serotonin syndrome
d. Dystonia

Question 2

When a patient for whom haloperidol has been prescribed tells the nurse, I'm burning up and my muscles are stiff and sore, the nurse suspects neuromuscular malignant syndrome and recognizes the possibility that the physician may order:

a. Olanzapine (Zyprexa)
b. Benztropine (Cogentin)
c. Venlafaxine (Effexor)
d. Dantrolene (Dantrium)

bhavsar · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
These are symptoms of serotonin syndrome, a condition that requires medical intervention. The other options are not associated with SSRI therapy.

Answer to Question 2

ANS: D
Dantrolene, a direct-acting skeletal muscle relaxant, is a drug often used to treat NMS. The other drugs mentioned would have no therapeutic effect on NMS.