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 D
Explanation
Choice A rationale: Measured data involves quantitative information obtained through measurement and observation, not the client's self-report.
Choice B rationale: Objective data is observable and measurable, often obtained through physical examination or direct observation.
Choice C rationale: Shared data is not a commonly used term in the context of describing information provided by a client. However, it could refer to information that is communicated or exchanged between the nurse and healthcare professionals.
Choice D rationale: Subjective data refers to information provided by the client based on their own feelings, perceptions, or experiences. In this case, the client's statement about auditory hallucinations and difficulty concentrating represents subjective data.
Correct Answer is A
Explanation
Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.
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