A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Severe restlessness

Respiratory depression and a comatose state

Sore throat and muscle aches

Increased anxiety and suicidal ideations

Answer and Explanation

The Correct Answer is C

C. Agranulocytosis is a serious side effect associated with clozapine, an antipsychotic medication. Agranulocytosis is characterized by a severe reduction in the number of white blood cells (specifically granulocytes) in the bloodstream, leading to an increased risk of infection. The client should be educated to monitor for signs and symptoms of agranulocytosis, including sore throat, fever, chills, and muscle aches, as these may indicate an underlying infection due to neutropenia.

A. Severe restlessness may be a side effect of some antipsychotic medications, but it is not specifically associated with agranulocytosis.

B. Respiratory depression and a comatose state are not typical manifestations of agranulocytosis.

D. Increased anxiety and suicidal ideations may be symptoms of certain mental health conditions or adverse effects of psychiatric medications, but they are not characteristic of agranulocytosis.

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Correct Answer is D

Explanation

D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.

B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.

C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.

A. Somatic symptom disorder is usually diagnosed in early childhood. B. Somatic symptom disorder is usually underdiagnosed in the older population. C. Somatic symptom disorder must be diagnosed before 18 years of age. D. Somatic symptom disorder is usually onset in older adulthood.

Correct Answer is B

Explanation

B. Somatic symptom disorder (SSD) involves persistent, distressing physical symptoms along with excessive thoughts, feelings, or behaviors related to those symptoms. While SSD can occur at any age, it is often underdiagnosed in the older population. Older adults may present with various somatic complaints, which can sometimes be mistaken for age-related physical health issues rather than manifestations of a psychological disorder.

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A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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