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The risk of experiencing serotonin syndrome is increased when SSRIs are given with monoamine oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best characterized in which of the following?

A.

Tea-colored urine and constipation

B.

A productive cough and vomiting

C.

Muscle rigidity and high fever

D.

Hypotension and urinary retention

Answer and Explanation

The Correct Answer is C

Choice A reason:

Tea-colored urine and constipation are not characteristic symptoms of serotonin syndrome. These symptoms may indicate other medical conditions but are not related to the excessive accumulation of serotonin in the body.

 

Choice B reason:

A productive cough and vomiting are not typical symptoms of serotonin syndrome. While vomiting can occur in severe cases, a productive cough is unrelated to serotonin syndrome and more indicative of respiratory conditions.

 

Choice C reason:

Muscle rigidity and high fever are hallmark symptoms of serotonin syndrome. This condition results from an excess of serotonin in the central nervous system and can lead to severe autonomic instability, hyperthermia, and neuromuscular abnormalities. Immediate medical intervention is required to manage these symptoms and prevent complications.

 

Choice D reason:

Hypotension and urinary retention are not primary symptoms of serotonin syndrome. While autonomic dysfunction can occur, the key features of serotonin syndrome include neuromuscular hyperactivity, autonomic instability, and altered mental status.


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View Related questions

Correct Answer is D

Explanation

Choice A reason:

Adolescents can experience social isolation and mental health challenges, but they are not the age group most likely to face chronic health problems that lead to suicidal risk. While adolescent suicide is a serious concern, older adults are more prone to chronic health issues and social isolation.

Choice B reason:

Young adults may also face social isolation and mental health issues, but they generally have fewer chronic health problems compared to older adults. The combination of social isolation and chronic health conditions is more prevalent in the geriatric population.

Choice C reason:

Middle-aged adults can experience significant stressors, such as career pressures and family responsibilities, which may contribute to mental health issues. However, they are not the age group most at risk for social isolation and chronic health problems leading to suicidal risk.

Choice D reason:

Geriatric or older adults are the age group most likely to be at risk for social isolation and have chronic health problems that lead to suicidal risk. Older adults often face multiple chronic health conditions, loss of loved ones, and reduced social networks, all of which can contribute to feelings of isolation and increased suicidal risk. Addressing these issues through social support and healthcare interventions is crucial for this population.

Correct Answer is ["A","B","D"]

Explanation

Choice A reason:

Improvement in activities of daily living (ADLs) and displaying hopefulness in interactions with others are positive nonverbal cues indicating that therapy and medication are effective. These improvements suggest that Edward is regaining interest in daily activities and looking forward to the future.

Choice B reason:

Being less tearful and able to discuss openly the loss of his grandfather with friends and in group settings are signs that Edward is processing his grief and benefiting from therapy. Open communication about his loss indicates emotional progress and acceptance.

Choice C reason:

Continuing to isolate is not a positive nonverbal cue. Isolation suggests that Edward is still struggling with his depressive symptoms and not fully engaging with his support system. This behavior indicates that further intervention may be needed.

Choice D reason:

Smiling appropriately and interacting with peers are positive nonverbal cues that therapy and medication are working. These behaviors show that Edward is beginning to re-engage socially and experience moments of joy and connection.

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