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 ["0.5"]
Explanation
Dosage of the medication =the desired dose/dose at hand X the amount to be administered
= 1mg/2mg x 1 ml
= 0.5 ml
Correct Answer is B
Explanation
Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.
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