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Exam (elaborations)
PMHNP Psychiatric-Mental Health 
Nurse Practitioner Comprehensive 
Knowledge Assessment and Review 
Guide: Advanced Test Bank, 
Detailed Practice Questions, Final 
Exam Preparation, and Complete Study Companion 

A patient taking an SSRI receives tramadol for postoperative pain. Which serious adverse reaction should the clinician monitor most closely? 
A.	Neuroleptic malignant syndrome 
B.	Serotonin syndrome 
C.	Stevens–Johnson syndrome 
D.	Acute dystonia 
Correct Answer: B. Serotonin syndrome 
Rationale: Tramadol has serotonergic properties and may precipitate serotonin syndrome when combined with SSRIs, SNRIs, MAO inhibitors, or other serotonergic drugs. Findings include agitation, diaphoresis,...