A client is prescribed olanzapine for schizophrenia.
How will the nurse monitor the client for adverse side effects? (Select all that apply).

Weigh the client.

Observe skin turgor.

Ask client about falls.

Obtain blood pressure.

Obtain blood sugar.

Answer and Explanation

Correct Answer : A,E

Olanzapine is an antipsychotic drug that can cause weight gain and increased blood sugar as common side effects.

Therefore, the nurse should monitor the client’s weight and blood sugar regularly to prevent complications such as obesity and diabetes.

Choice B is wrong because olanzapine does not affect skin turgor, which is a measure of hydration status.

Choice C is wrong because olanzapine does not cause falls, although it may cause dizziness or unsteadiness as side effect.

Choice D is wrong because olanzapine does not cause significant changes in blood pressure, although it may cause orthostatic hypotension (a drop in blood pressure when standing up) as a side effect.

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Correct Answer is B

Explanation

Potassium is 3.0.

This is because furosemide is a loop diuretic that can cause hypokalemia (low potassium levels) as a side effect. Hypokalemia can lead to muscle weakness, cramps, cardiac arrhythmias, and digoxin toxicity. The normal range for potassium is 3.5 to 5.0 mEq/L.

Choice A is wrong because sodium is 144 is within the normal range of 135 to 145 mEq/L.

Choice C is wrong because chloride is 99 is within the normal range of 98 to 106 mEq/L.

Choice D is wrong because calcium is 5.0 is within the normal range of 4.5 to 5.5 mg/dL.

A. Do your gums bleed when you brush your teeth?. B. Are you taking the medication as prescribed?. C. Have you noticed blood in your stools?. D. Do you have any unusual bruising?.

Correct Answer is B

Explanation

Are you taking the medication as prescribed? This is because warfarin is a blood-thinning medication that affects the prothrombin time (PT) and the international normalized ratio (INR).

The PT measures how long it takes for blood to clot, and the INR is a calculation based on the PT that standardizes the results across different laboratories. A normal INR range is 0.8 to 1.1 for people who are not taking warfarin. People who take warfarin usually have a target INR range of 2 to 3, depending on their condition.

An INR of 0.8 means that the blood clots faster than normal, which increases the risk of blood clots and strokes.

This could indicate that the client is not taking enough warfarin or is taking other medications or foods that interfere with warfarin’s effect.

Choice A is wrong because bleeding gums are a sign of excessive bleeding, which could happen if the INR is too high, not too low.

Choice C is wrong because blood in stools is also a sign of excessive bleeding, which could happen if the INR is too high, not too low.

Choice D is wrong because unusual bruising is another sign of excessive bleeding, which could happen if the INR is too high, not too low.

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A client is prescribed olanzapine for schizophrenia. How will the nurse monitor the client for adverse side effects? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

A client is started on furosemide 80 mg every morning. Which lab result needs to be reported to the health care provider?

Correct Answer is B

Explanation

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

Correct Answer is B

Explanation

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A client is prescribed olanzapine for schizophrenia.
How will the nurse monitor the client for adverse side effects? (Select all that apply).