Difficulty: Medium
Average Score: 94%
Simulated
A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?
Correct answer
D
Rationale
The correct answer is D: Dilated pupils and loss of muscle coordination. Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin levels in the body. Selective serotonin reuptake inhibitors and St. John's Wort can both increase serotonin levels. Dilated pupils and loss of muscle coordination are classic signs of serotonin syndrome due to the overstimulation of serotonin receptors in the brain. Blood pressure (choice A) can be elevated, but it is not a specific finding for serotonin syndrome. Suicidal ideations (choice B) are more related to mental health conditions rather than serotonin syndrome. Tinnitus and jerking movements (choice C) are not typically associated with serotonin syndrome.