A client is on Clozaril (Clozapine). The nurse is aware that frequent blood work is essential during the first 6 months of treatment to monitor for the presence of what?
A decrease in white blood cells
A low hemoglobin levels
An increase in white blood cells
Blood in the urine
The Correct Answer is A
Choice A rationale: Clozapine is an antipsychotic medication associated with agranulocytosis which is a condition where the bone marrow does not provide enough white blood cells. This increases an individual’s risk of infections. Therefore, frequent blood tests should be performed on an individual taking this medication to monitor the WBC count and stop the medication if need be.
Choice B rationale: clozapine is not associated with a low hemoglobin level. Anemia may be caused by conditions such as iron deficiency, chronic conditions such as chronic kidney disease, and vitamin B12 deficiency.
Choice C rationale: An increase in white blood cell count is not a side effect of clozapine but can be caused by infections. Clozapine causes low white blood cell count.
Choice D rationale: blood in urine is not a side effect of clozapine but can be caused by the use of medications such as cyclophosphamide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale: Observation is a method of data collection involving the use of one’s senses to notice the aspects of a client such as their appearance, expressions, and actions.
Choice B rationale: Reviewing diagnostic testing results is a method of collecting data that involves the examination of the findings of laboratory tests, imaging studies, and other procedures. These findings provide objective information about the client's physiological functioning.
Choice C rationale: client interview is a method of data collection involving asking them questions and listening to their responses. This method helps the nurse to obtain subjective data about the client's health history, current problems, expectations, values, and beliefs.
Choice D rationale: Performing physical assessment is a method of collecting data that involves using inspection, palpation, percussion, and auscultation to examine the different body systems of the client. This provides objective information about the patient’s condition.
Choice E rationale: this is incorrect since Interpreting client behaviors is not a method of collecting data but is instead a data analysis method.
Correct Answer is C
Explanation
Choice A rationale: Crestor (Rosuvastatin) is a statin used for lowering cholesterol levels, not for treating depression.
Choice B rationale: Seroquel (Quetiapine) is an atypical antipsychotic used for various mental health conditions such as schizophrenia, bipolar disorder, and major depressive disorder. However, it is not a first-line treatment for depression.
Choice C rationale: Paxil (Paroxetine) is an antidepressant commonly used in the treatment of depression and other mood disorders. It belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications.
Choice D rationale: Latuda (Lurasidone) is an atypical antipsychotic used in certain psychiatric conditions such as schizophrenia and bipolar depression but is not typically a first-line treatment for depression.
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