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 B
Explanation
B In Alzheimer's disease, cortical thinning typically begins in the temporal and parietal lobes of the brain, areas associated with memory, language, and higher cognitive functions. As the disease progresses, cortical thinning may extend to other regions of the brain, contributing to the worsening cognitive decline seen in affected individuals.
A. HIV-associated neurocognitive disorders (HAND) can result in various structural and functional changes in the brain, including cortical atrophy, but cortical thinning is not a specific hallmark of HIV infection-related dementia.
C. Prion diseases can lead to spongiform changes and neuronal loss in the brain, but cortical thinning is not typically described as a characteristic feature.
D. Chronic substance abuse, particularly alcohol and certain drugs, can lead to structural and functional changes in the brain, including cortical atrophy. However, cortical thinning is not specific to substance use disorder-related dementia and can occur in various other neurological conditions as well.
Correct Answer is A
Explanation
A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.
B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.
C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.
D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.
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