A client taking sertraline is prescribed tramadol for pain. The client becomes agitated, sweaty, febrile, and develops muscle rigidity and exaggerated reflexes. Which complication should the nurse suspect?
Correct answer: B. Serotonin syndrome
- A. Neuroleptic malignant syndrome
- B. Serotonin syndrome
- C. Anticholinergic toxicity
- D. Lithium toxicity
Explanation
Sertraline and tramadol can increase serotonin activity, and agitation, sweating, fever, rigidity, and hyperreflexia suggest serotonin syndrome. Neuroleptic malignant syndrome is more closely associated with dopamine-blocking drugs and usually has marked muscle rigidity without the same serotonergic pattern.
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Mood and anxiety disorders include major depression, bipolar disorder, generalized anxiety, panic disorder, phobias, and obsessive-compulsive disorder. Key areas include depressive and manic symptoms, suicide risk, anxiety levels, diagnostic differences, and nursing interventions, while distinguishing normal sadness or fear from clinically impairing conditions.
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