LPN Custom Mental Health
LPN Custom Mental Health ( 42 Questions)
A nurse is assisting with the care for a newly admitted client who has major depressive disorder.
Graphic Record
0800:
Blood pressure 118/76 mm Hg
Temperature 36.9° C (98.4" F)
Heart rate 88/min
Respiratory rate 18/min
1300:
Blood pressure 116/74 mm Hg
Temperature 37.7° C (99.9° F)
Heart rate 96/min
Respiratory rate 16/min
Select 1 condition and 1 client finding to fill in each blank in the following sentence (Separate using a comma).
The client is at risk for developing _____ due to the Client's intake of St._____
The client is at risk for developing Serotonin syndrome due to the Client's intake of St. John's wort
Explanation:
St. John's wort is an herbal supplement that can interact with certain medications, including selective serotonin reuptake inhibitors (SSRIs) and other medications that increase serotonin levels. Serotonin syndrome is a potentially life-threatening condition characterized by an excess of serotonin in the body.
In the given scenario, the nurse should identify:
Condition: The client's intake of St. John's wort
Client Finding: At risk for developing serotonin syndrome
This is because the use of St. John's wort, combined with medications that affect serotonin levels, increases the risk of serotonin syndrome. The nurse should monitor for symptoms of serotonin syndrome, such as changes in vital signs, hyperthermia, altered mental status, and neuromuscular abnormalities. If serotonin syndrome is suspected, medical attention should be sought promptly.