A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?

Dry mouth

Hypoglycemia

Pain in great toes

Diarrhea

Answer and Explanation

The Correct Answer is D

Choice A reason: Dry mouth is a common side effect of many antipsychotics due to their anticholinergic properties, but it is not considered a serious adverse effect of clozapine. While it may cause discomfort, it does not pose significant health risks compared to other potential complications.

Choice B reason: Hypoglycemia is not a typical adverse effect of clozapine. Clozapine is more commonly associated with metabolic syndrome, including weight gain, hyperglycemia, and dyslipidemia, rather than low blood sugar. Therefore, this option is incorrect.

Choice C reason: Pain in the great toes is not a recognized adverse effect of clozapine. This symptom could suggest gout or another musculoskeletal condition, but it is unrelated to clozapine therapy.

Choice D reason: Diarrhea is a potential adverse effect of clozapine. Clozapine can cause gastrointestinal disturbances, including diarrhea, constipation, and hypersalivation. Monitoring for these symptoms is important because they can affect the client’s hydration and nutritional status.

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Correct Answer is D

Explanation

Choice A reason: Setting strict limits on behaviors is not therapeutic for OCD. It can increase anxiety and resistance, as compulsions are driven by uncontrollable urges to reduce distress.

Choice B reason: Informing the client that ritualistic behaviors serve no purpose invalidates their experience and can increase anxiety. Clients with OCD are often aware their behaviors are irrational but feel compelled to perform them.

Choice C reason: Isolation is inappropriate and harmful. It does not address the client’s needs and can worsen anxiety and compulsive behaviors.

Choice D reason: Allowing time for rituals is the correct intervention. Initially, the nurse should accommodate the client’s compulsions to reduce anxiety and build trust. Over time, therapeutic interventions can gradually help the client reduce ritualistic behaviors.

A. The client's delusion that cleaning is necessary. B. The client's wish to decrease the time available for interaction with others. C. The client's attempt to decrease anxiety. D. The client’s unconscious need to manipulate others.

Correct Answer is C

Explanation

Choice A reason: OCD behaviors are not based on delusions. Clients are usually aware that their compulsions are irrational, but they feel compelled to perform them to relieve anxiety. Delusions are fixed false beliefs, which differ from compulsions.

Choice B reason: Avoiding interaction with others is not the primary motivation for compulsive cleaning. While social withdrawal may occur, the driving force behind repetitive cleaning is anxiety reduction, not avoidance of social contact.

Choice C reason: Compulsive cleaning is performed to decrease anxiety. Clients with OCD experience intrusive thoughts that cause distress, and repetitive cleaning rituals temporarily relieve this anxiety. This cycle reinforces the behavior, making it difficult to stop.

Choice D reason: Manipulating others is not a characteristic of OCD compulsions. The behaviors are self-directed and aimed at reducing internal distress, not controlling or influencing others.

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A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly-admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?

Correct Answer is C

Explanation

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