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 A

Explanation

A. describes secretive behavior, which is indicative of bulimia nervosa.

B. It suggests laxative misuse, which can be a compensatory behavior associated with bulimia nervosa. However, it does not directly address the binge-purge cycle or the emotional aspect of the behavior.

C. This describes behavior more characteristic of anorexia nervosa rather than bulimia nervosa. Anorexia nervosa involves restrictive eating behaviors and a distorted body image, whereas bulimia nervosa typically involves binge eating episodes followed by compensatory behaviors.

D. This feeling of euphoria or emotional relief during binge-purge episodes is not commonly reported by individuals with bulimia nervosa.It is mostly a complusion that bring remorse afterwards.

A. Medical insurance availability for substance use disorder treatment. B. The developing brain is exposed to substances at an early age. C. The brain already has cognitive deficits that causes it to be vulnerable to addiction. D. Initial use of substances began in adulthood.

Correct Answer is B

Explanation

B. Exposure to substances at a young age, especially during periods of brain development, increases the risk of addiction. Adolescents and young adults are particularly vulnerable to the effects of drugs and alcohol because their brains are still developing, particularly in areas related to decision-making, impulse control, and risk assessment.

A. The availability of medical insurance coverage for treatment does not directly increase the potential for addiction.

C. Cognitive deficits or vulnerabilities may predispose individuals to addiction, such as impulsivity or difficulty regulating emotions but they are not inherent characteristics of the brain.

D. Addiction can occur at any age, depending on various factors such as genetic predisposition, environmental influences, and individual vulnerabilities.

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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 observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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