A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?

Weigh the client daily.

Monitor the client for signs of bleeding.

Monitor the client’s respirations every 4 hours.

Administer an antacid with the medication to decrease nausea.

Answer and Explanation

The Correct Answer is A

Choice A reason: Weigh the client daily is important because chlorpromazine can cause weight gain as a side effect. Regular monitoring of the client’s weight helps in managing and mitigating this potential adverse effect.

Choice B reason: Monitor the client for signs of bleeding is not typically necessary for clients taking chlorpromazine. This medication does not commonly cause bleeding issues. Monitoring for bleeding would be more relevant for clients on anticoagulants or medications that affect platelet function.

Choice C reason: Monitor the client’s respirations every 4 hours is not specifically required for clients on chlorpromazine. While respiratory depression can be a concern with some medications, it is not a common side effect of chlorpromazine.

Choice D reason: Administer an antacid with the medication to decrease nausea is not recommended. Antacids can interfere with the absorption of chlorpromazine, reducing its effectiveness. If the client experiences nausea, other antiemetic strategies should be considered.

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Correct Answer is C

Explanation

Choice A reason: Aplastic anemia results in an increased rate of RBC destruction

Aplastic anemia does not result from an increased rate of red blood cell (RBC) destruction. Instead, it is characterized by the bone marrow’s inability to produce sufficient new blood cells, including RBCs, white blood cells, and platelets. This condition leads to pancytopenia, a deficiency of all types of blood cells.

Choice B reason: Aplastic anemia is associated with a decreased intake of iron

Aplastic anemia is not typically associated with a decreased intake of iron. Iron deficiency anemia is a different condition where the body lacks enough iron to produce hemoglobin. Aplastic anemia, on the other hand, is due to the failure of the bone marrow to produce adequate blood cells.

Choice C reason: Aplastic anemia results from decreased bone marrow production of RBCs

This statement is correct. Aplastic anemia occurs when the bone marrow fails to produce enough new blood cells. This can be due to various factors, including autoimmune disorders, exposure to toxic chemicals, certain medications, and viral infections. The decreased production of RBCs, along with other blood cells, leads to the symptoms associated with aplastic anemia.

Choice D reason: Aplastic anemia results in an inability to absorb vitamin B12

Aplastic anemia is not related to the absorption of vitamin B12. Pernicious anemia is the condition associated with an inability to absorb vitamin B12 due to a lack of intrinsic factor. Aplastic anemia is specifically related to the bone marrow’s failure to produce sufficient blood cells.

A. Dark urine B. Diarrhea C. Urticaria D. Fever

Correct Answer is C

Explanation

Choice A reason:

The statement “Dark urine” is not typically a manifestation of an allergic reaction to oxacillin. Dark urine can indicate other issues such as dehydration, liver problems, or the presence of blood, but it is not a common sign of an allergic reaction to antibiotics.

Choice B reason:

The statement “Diarrhea” is a common side effect of many antibiotics, including oxacillin, but it is not specifically indicative of an allergic reaction. Diarrhea can occur due to the disruption of normal gut flora by antibiotics, but it does not necessarily mean the patient is allergic to the medication.

Choice C reason:

The statement “Urticaria” (hives) is a classic sign of an allergic reaction. Urticaria presents as raised, itchy welts on the skin and is a common allergic response to medications, including oxacillin. This reaction occurs when the immune system releases histamines in response to the drug.

Choice D reason:

The statement “Fever” can be associated with both infections and allergic reactions, but it is not a definitive sign of an allergic reaction to oxacillin. Fever can occur due to the underlying infection being treated or as a side effect of the medication, but it is not as specific as urticaria for indicating an allergic response.

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A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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