Question

A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. what should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?

a. ignore mild fevers, as they commonly occur with this medication.
b. stop the medication if excessive sleeping occurs.
c. do not provide any herbal supplements.
d. double the dosage of the medication if diarrhea occurs.

Answer 1

To prevent serotonin syndrome in a client taking SSRIs, the family should not provide any herbal supplements, particularly those like St. John's wort that can interact with SSRIs and increase serotonin levels. The correct option is c.

Step-by-step explanation:

The student is asking about preventing the development of serotonin syndrome in a client with major depressive disorder who is prescribed a serotonin reuptake inhibitor.

To prevent serotonin syndrome, it's critical that the family does not combine the prescription with certain other medications or supplements that could increase serotonin levels beyond a safe threshold. The correct instruction is: c. Do not provide any herbal supplements.

Herbal supplements, particularly those like St. John's wort, can interact with SSRIs and increase the risk of serotonin syndrome, a potentially life-threatening condition.

It's essential to closely follow the prescribing doctor's advice and to avoid any unauthorized medication changes, such as stopping the medication or adjusting the dosage without medical consultation. The correct option is c.