A nurse is caring for a client who has a new prescription for clozapine. Which of the following should the nurse recognize as an adverse effect of this medication?
Diarrhea
Hypoglycemia
Agranulocytosis
Urinary frequency
The Correct Answer is C
A. Diarrhea: Diarrhea is not a common adverse effect of clozapine. Gastrointestinal symptoms may occur with some antipsychotics, but diarrhea is not a primary concern with clozapine therapy.
B. Hypoglycemia: Clozapine is more commonly associated with hyperglycemia and increased risk of diabetes mellitus, rather than hypoglycemia. Blood glucose monitoring may be needed in clients at risk.
C. Agranulocytosis: Clozapine can cause severe neutropenia or agranulocytosis, which increases the risk of infection. Regular monitoring of white blood cell counts is essential, and any signs of infection should prompt immediate evaluation.
D. Urinary frequency: Urinary frequency is not a typical adverse effect of clozapine. Anticholinergic effects like urinary retention are more commonly associated with this medication, rather than increased frequency.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Our children can stay up as late as they prefer.": This statement reflects permissive parenting, which is characterized by few rules, limited discipline, and high responsiveness to the child’s desires. Parents allow children considerable freedom, often prioritizing the child’s wishes over structure or boundaries.
B. "We make decisions as a family.": This statement reflects authoritative parenting, which emphasizes democratic decision-making, open communication, and balanced expectations. Children are involved in discussions, but parents still provide guidance and set reasonable limits.
C. "Our children are allowed to make their own choices.": Allowing children to make their own choices reflects permissive or laissez-faire parenting. While autonomy is encouraged, there is typically less emphasis on rules, boundaries, or consistent discipline, which differs from the control-focused approach of authoritarian parenting.
D. "We expect our children to do what we say without any questions.": This statement reflects authoritarian parenting, which is characterized by high demands, strict rules, and limited flexibility. Parents expect obedience without discussion, prioritize control over warmth, and often enforce discipline without explaining reasoning.
Correct Answer is A
Explanation
A. "You should increase your daily fluid intake.": Adequate hydration is important during early pregnancy to support maternal blood volume expansion, amniotic fluid production, and overall health. Increasing fluid intake can also help alleviate common symptoms such as constipation and mild nausea.
B. "Headaches are expected throughout pregnancy.": While mild headaches can occur, persistent or severe headaches are not considered normal and may indicate complications such as hypertension. Clients should be advised to report significant or recurrent headaches to their provider.
C. "You will feel your baby moving within the next month.": Fetal movement, or “quickening,” typically occurs between 16–20 weeks of gestation for primigravid clients, not at 9–10 weeks. Early reassurance should focus on expected developmental milestones for this stage.
D. "Hormone shifts often cause severe vomiting.": Mild nausea and vomiting are common in early pregnancy due to hormonal changes, but severe vomiting (hyperemesis gravidarum) is not expected and requires medical evaluation for hydration and nutritional management.
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