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

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

A. Bone loss and osteoporosis B. B.rain trauma and injury C. Heart disease and stroke D. Liver and pancreatic disease

Correct Answer is C

Explanation

C. Methamphetamine use can lead to vasoconstriction and increased blood pressure, which significantly elevate the risk of cardiovascular complications such as heart disease and stroke. The drug's stimulant effects can cause persistent high blood pressure, irregular heart rhythms, inflammation of blood vessels, and damage to the heart muscle.

A, B, D- Methamphetamine have no direct effect on bones health, brain, liver or the pancreas

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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

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identity that the client is at high risk for developing which of the following conditions?

Correct Answer is C

Explanation

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