A nurse is caring for a client who is taking clozapine. Which of the following findings should the nurse report to the provider?
Tinnitus
Dizziness
Sore throat
Diaphoresis
The Correct Answer is C
Rationale:
A. Tinnitus: Tinnitus is not a known or common adverse effect of clozapine. While it may indicate another condition, it does not require immediate reporting in the context of clozapine therapy.
B. Dizziness: Dizziness can occur due to clozapine’s hypotensive effects, especially when initiating therapy. It is usually self-limiting and managed symptomatically unless it worsens or affects safety.
C. Sore throat: A sore throat can signal the onset of agranulocytosis, a life-threatening side effect of clozapine marked by a dangerously low white blood cell count. It must be reported immediately for prompt blood count evaluation.
D. Diaphoresis: Diaphoresis may occur with many medications and is not specific to clozapine toxicity or serious adverse effects. It typically does not warrant immediate reporting unless severe or part of a broader concerning symptom complex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Nitroglycerin transdermal patch: This prescription is incomplete because it lacks a dosage strength, application site, frequency, and duration. Without these details, safe administration cannot be ensured.
B. Aspirin 1 tablet daily: The prescription is incomplete as it does not specify the tablet’s strength (e.g., 81 mg or 325 mg). "1 tablet" is ambiguous and can vary based on available formulations.
C. Metoprolol 5 mg IV now: This is a complete prescription it includes the medication name, dose (5 mg), route (IV), and timing ("now"). It gives the nurse all essential information to safely administer the drug.
D. Furosemide 20 mg BID: While the medication, dosage, and frequency are provided, the route is missing. Furosemide can be given orally or intravenously, so this omission makes the prescription incomplete.
Correct Answer is C
Explanation
Rationale:
A. Sacrum: The sacrum is assessed for pressure injuries but is not a reliable site for detecting cyanosis in clients with dark skin due to the deeper pigmentation and less visibility of color changes in oxygenation.
B. Shoulders: The shoulders are not a standard or sensitive area for assessing cyanosis. This area has thick skin and strong pigmentation, making it difficult to detect subtle color changes.
C. Palms of the hands: The palms are less pigmented and allow better visualization of color changes, making them useful sites for assessing cyanosis in individuals with dark skin. Changes in oxygenation are more noticeable here.
D. Area of trauma: Areas of trauma are better assessed for bruising, bleeding, or inflammation rather than systemic signs like cyanosis. Localized injury does not reliably indicate generalized oxygenation status.
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