medium · NCLEX-RN Physiological Adaptation

At 1645, a client on the medical unit who is receiving sertraline for depression and recently started tramadol for pain develops a temperature of 39.2circC, heart rate of 128/min, and inducible clonus in the lower extremities.

What is the nurse's first action?

  1. Apply four-point soft restraints to prevent injury from the leg movements, for this client.
  2. Reassess the client in one hour after providing a quiet environment for anxiety, for this client.
  3. Administer the ordered dose of acetaminophen for the fever.
  4. Hold all serotonergic medications and notify the provider of suspected serotonin syndrome.

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