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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A lack of emotions, also known as flat affect or emotional blunting, is a common negative symptom of schizophrenia. It refers to a reduced range or intensity of emotional expression, such as reduced facial expressions, tone of voice, or gestures.
B. Paranoia is not a negative symptom but rather a positive symptom of schizophrenia.
C. Confusion may occur in schizophrenia, but it is not specific to negative symptoms. Confusion can be a result of various factors, including medication side effects, acute psychosis, or cognitive deficits.
D. Distorted beliefs, such as delusions, are considered positive symptoms rather than negative symptoms of schizophrenia.
Correct Answer is B
Explanation
B. Factitious disorder involves feigning or inducing physical or psychological symptoms in oneself to assume the sick role and receive attention or care, often from medical professionals.
A. Functional neurological symptom disorder (previously known as conversion disorder) involves the presence of neurological symptoms that are inconsistent with known neurological conditions or diseases.
C. The primary focus in illness anxiety disorder is on the fear of having an illness rather than deliberate fabrication of symptoms.
D. The focus in somatic symptom disorder is on the physical symptoms themselves rather than deliberate fabrication or exaggeration of illness.
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