A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

The importance of routine red blood cell count laboratory work when taking an antipsychotic

The importance of limiting fluid intake when taking an antipsychotic

The importance of avoiding foods that contain tyramine when taking an antipsychotic

The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

Answer and Explanation

The Correct Answer is D

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

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Correct Answer is C

Explanation

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

A. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning. B. That is very interesting. We are not sure why people start to isolate themselves. C. Do you think of yourself as more of an introvert? That makes a difference with how you socialize. D. "Were you avoiding your friend so that you could hear the voices more clearly?"

Correct Answer is A

Explanation

A. This response provides accurate information about the early warning signs of schizophrenia spectrum disorders. Social withdrawal and isolation are commonly observed before the onset of

psychotic symptoms, such as hearing voices. By acknowledging this pattern, the nurse validates the client's experience and offers insight into potential warning signs.

B. This fails to address the client's concern or provide meaningful information about the potential significance of their behavior.

C. While exploring the client's personality traits and how they relate to socialization is valid, this response does not directly address the client's concern about isolating themselves before experiencing symptoms of schizophrenia.

D. This response makes an assumption about the client's motivations for avoiding their friend and implies a connection between social isolation and hearing voices that may not be accurate.

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A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Correct Answer is C

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices. I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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