A nurse is caring for a client at a clinic. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdown due to dropdown.
Explanation & Rationale
The client is at risk for developing serotonin syndrome due to adverse effects of paroxetine. Rationale: Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity, often from SSRIs or interactions with other serotonergic medications. This client recently had fluoxetine discontinued and paroxetine started at 10 mg, then increased to 30 mg daily. Rapid dose increases or overlapping serotonergic effects increase the risk of serotonin syndrome. Manifestations such as restlessness, abdominal pain, disorientation, and fever are classic early signs of serotonin syndrome. Mania: There is no history of bipolar disorder or manic episodes; current symptoms are not consistent with mania. Psychosis: No hallucinations, delusions, or disorganized thinking noted, making psychosis less likely.