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
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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Related Questions
Correct Answer is D
Explanation
D. Telehealth can greatly benefit homebound clients or those who have difficulty accessing a physician's office due to various reasons such as mobility issues, geographical distance, or lack of transportation. It allows them to communicate with their primary care providers remotely, facilitating access to necessary healthcare services.
A. Telehealth is particularly beneficial for certain types of consultations, follow-up appointments, monitoring chronic conditions, mental health counseling, and providing education and support. B Telehealth is not necessarily a separate program but rather an alternative mode of delivering healthcare services.
C. Telehealth consultations may result in the issuance of prescriptions or recommendations for medical equipment or services, which would then be subject to the individual's health insurance coverage or out-of-pocket expenses.
Correct Answer is B
Explanation
B. An individual with anorexia nervosa often experiences fear or anxiety surrounding certain foods, particularly those perceived as high in calories or fat. This fear may lead to restrictive eating patterns and avoidance of certain food groups.
A. The primary motivation for restricting food intake is typically driven by factors such as fear of weight gain or body dissatisfaction, rather than simply disliking the taste of food.
C. They often meticulously monitor food intake and may keep detailed records of calorie consumption. Therefore, the statement about not tracking calories is less consistent with typical behaviors seen in anorexia nervosa.
D. People with anorexia nervosa often restrict their calorie intake well below recommended levels for maintaining health, and 2,000 calories per day would be considered a relatively high amount of food for someone with this disorder.
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