A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

Thoughts of wanting to hurt himself.

Frequent days with diarrhea.

Weight gain of 75 pounds (34 kg).

Altered liver function tests.

Answer and Explanation

The Correct Answer is C

A.   Thoughts of wanting to hurt himself might be associated with various mental health conditions or medications but aren't specifically linked to olanzapine.
B.   Diarrhea is a less common side effect of olanzapine and is not among the more frequently reported side effects.
C.   Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases.
D.   Altered liver function tests are less commonly associated with olanzapine use compared to weight gain.

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Correct Answer is C

Explanation

A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.

A. Erythema of the localized lesions. B. Evidence of patches of lost hair. C. Episodic complaints of pruritus. D. Ecchymotic blood accumulations.

Correct Answer is D

Explanation

Rationale for A: Erythema of localized lesions may indicate an inflammatory condition or infection, which could suggest that the hair loss is disease-related.

Rationale for B: Evidence of patches of lost haircan be due to cosmetic products or abuse hence not conclusive

Rationale for C: Episodic complaints of pruritus could indicate an allergic reaction or infestation, which suggests a possible disease-related cause for the hair loss.

Rationale for D: Ecchymotic blood accumulations suggest trauma to the scalp.

C. Episodic complaints of pruritus (itching) might suggest irritation but do not conclusively indicate the hair loss is not disease-related.
D. Ecchymotic blood accumulations indicate bruising but are not typically associated with hair pain or loss.

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A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

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Naxlex Comprehensive Predictor Exams

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Correct Answer is C

Explanation

A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?

Correct Answer is D

Explanation

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