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Author Question: A female client is brought to the emergency department by her brother, who reports that she became ... (Read 161 times)

cool

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on: Jul 19, 2018
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

Question 2

A nurse is preparing a continuing education presentation about various psychopharmacologic agents for a group of psychiatricmental health nurses. The nurse is planning to discuss selective serotonin reuptake inhibitors.
 
  Which agents would the nurse include in this group? Select all that apply.
 
  A) Fluoxetine
  B) Duloxetine
  C) Sertraline
  D) Venlafaxine
  E) Bupropion
  F) Amoxapine


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sarah_brady415

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Reply #1 on: Jul 19, 2018
Answer to Question 1

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.

Answer to Question 2

Ans: A, C
Selective serotonin reuptake inhibitors include fluoxetine and sertraline. Duloxetine and venlafaxine are serotonin norepinephrine reuptake inhibitors. Bupropion is a norepinephrine dopamine reuptake inhibitor. Amoxapine is a tricyclic antidepressant.


cool

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Reply #2 on: Jul 19, 2018
Correct answers!


sarah_brady415

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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