Difficulty: Medium
Average Score: 66%
Simulated
The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the PN implement first?
Correct answer
B
Rationale
The symptoms of restlessness, tachycardia, fever, and elevated blood pressure in a client on paroxetine are indicative of serotonin syndrome, a potentially life-threatening condition. The immediate action is to withhold the medication and notify the healthcare provider.