A nurse is preparing to administer medications to a client who has schizophrenia.
Complete the following sentence by using the list of options. The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The nurse should clarify the prescription for clozapine due to the client’s WBC count.
Choice A: Lorazepam
Reason: Lorazepam is a benzodiazepine used for anxiety and sedation. It is not typically associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of lorazepam.
Choice B: Clozapine
Reason: Clozapine is an antipsychotic medication known to cause agranulocytosis, a potentially life-threatening decrease in white blood cells. Regular monitoring of WBC count is required for patients on clozapine. The client’s WBC count of 4,800/mm³ is below the normal range (5,000 to 10,000/mm³), indicating a risk for further decrease, which necessitates clarifying the prescription.
Choice C: Fluoxetine
Reason: Fluoxetine is an SSRI used to treat depressive disorders. While it has various side effects, it is not commonly associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of fluoxetine.
Choice D: Loratadine
Reason: Loratadine is an antihistamine used for allergies. It is not typically associated with significant changes in WBC count. The client’s WBC count does not contraindicate the use of loratadine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Discussing childhood memories during group therapy
Discussing childhood memories is a core component of reminiscence therapy. This therapeutic approach involves recalling and sharing past experiences, which can help older adults improve their mood, enhance their sense of identity, and reduce feelings of isolation. By discussing childhood memories, clients can connect with each other and their own past, fostering a sense of community and continuity. This strategy is particularly effective in group settings where shared experiences can lead to meaningful conversations and emotional support.
Choice B: Making a unit calendar to promote orientation
While making a unit calendar can be beneficial for promoting orientation and helping clients keep track of time, it is not a primary strategy of reminiscence therapy. Reminiscence therapy focuses more on recalling and discussing past experiences rather than current orientation. Therefore, while useful, this strategy does not align directly with the goals of reminiscence therapy.
Choice C: Encouraging thought-stopping to block undesirable thoughts
Thought-stopping is a cognitive-behavioral technique used to interrupt negative or unwanted thoughts. It is not typically associated with reminiscence therapy, which aims to encourage the recall of past experiences, both positive and negative, to help clients process their emotions and memories. Blocking thoughts would counteract the purpose of reminiscence therapy, which is to explore and reflect on past experiences.
Choice D: Playing board games with other clients to enhance cognition
Playing board games can be a valuable activity for enhancing cognition and social interaction among older adults. However, it is not specifically a strategy of reminiscence therapy. Reminiscence therapy focuses on discussing and reflecting on past experiences rather than engaging in cognitive games. While board games can be beneficial, they do not fulfill the primary objectives of reminiscence therapy.
Correct Answer is D
Explanation
Choice A reason:
Haloperidol is not commonly associated with causing ringing in the ears (tinnitus). While tinnitus can be a side effect of some medications, it is not typically linked to haloperidol.
Choice B reason:
Urinary incontinence is not a common side effect of haloperidol. This medication is more likely to cause urinary retention rather than incontinence.
Choice C reason:
Experiencing a metallic taste is not a known side effect of haloperidol. This side effect is more commonly associated with other medications, such as certain antibiotics or chemotherapy drugs.
Choice D reason:
Increased sensitivity to the sun (photosensitivity) is a known side effect of haloperidol. Clients taking this medication should be advised to use sun protection and avoid prolonged sun exposure.

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