Nokea
A nurse is caring for a client who has been taking Sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing Serotonin syndrome?
- A. Bruising
- B. Fever
- C. Abdominal pain
- D. Rash
Correct Answer: B
Rationale: Fever is a key sign of serotonin syndrome, a potentially life-threatening condition from SSRI overdose.
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The nurse is caring for a patient who is being treated for chronic alcohol intoxication. The nurse notes that the patient's serum alcohol level is 0.40 mg%. The patient is awake and talkative even though this is a potentially lethal dose. The nurse recognizes this as alcohol
- A. addiction
- B. dependence
- C. misuse
- D. tolerance
Correct Answer: D
Rationale: Tolerance allows functioning at high alcohol levels; addiction or dependence don't explain this alone. This person has developed tolerance to alcohol and is able to have a potentially lethal amount without severe effects.
Patients taking antacids should be educated regarding these drugs, including letting them know that:
- A. They may cause constipation or diarrhea
- B. Many are high in sodium
- C. They should separate antacids from other medications by 1 hour
- D. All of the above
Correct Answer: D
Rationale: All are true: antacids cause GI effects , may be high-sodium , and interact with drugs if not timed apart .
Antiemitic used to prevent aspiration in emergency surgery
- A. Ondansetrone
- B. Promethazine
- C. Metoclopromide
- D. Ranitidine
Correct Answer: B
Rationale: Promethazine (antihistamine) prevents aspiration with sedative effects.
While receiving treatment for kidney stones, a man complains of swelling and pain in his big toe and is found to have hyperuricemia
- A. Clomiphene
- B. Hydrochlorothiazide
- C. Furosemide
- D. Mifepristone
Correct Answer: B
Rationale: Thiazides like hydrochlorothiazide reduce uric acid excretion, causing hyperuricemia and gout.
NSAIDs increase the risk of CNS adverse effects when taken with which group of antibiotics?
- A. Macrolides
- B. Penicillins
- C. Aminoglycosides
- D. Quinolones
Correct Answer: D
Rationale: Quinolones (e.g., ciprofloxacin) with NSAIDs can increase CNS effects like seizures due to GABA inhibition.