A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?

Blurred vision

Dry mouth

Fever

Constipation

Answer and Explanation

The Correct Answer is C

A. Blurred vision: Blurred vision can occur as a side effect of clozapine due to anticholinergic properties. While it may cause discomfort or temporary visual disturbances, it is not immediately life-threatening and does not require urgent reporting to the provider.

B. Dry mouth: Dry mouth is a common and expected anticholinergic side effect of clozapine. Although it can contribute to dental issues if persistent, it does not indicate a serious or emergent complication and can often be managed with hydration or saliva substitutes.

C. Fever: Fever is the highest priority symptom to report because it can indicate agranulocytosis, a rare but potentially life-threatening side effect of clozapine. Agranulocytosis compromises the immune system, increasing the risk of severe infections, making early detection and intervention critical.

D. Constipation: Constipation is a common side effect due to clozapine’s anticholinergic effects. While it should be monitored and managed to prevent complications such as bowel obstruction, it is not immediately life-threatening compared to signs of infection like fever.

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Correct Answer is D

Explanation

A. Treat mild to moderate depression: Chondroitin and glucosamine do not have antidepressant properties and are not indicated for the treatment of mood disorders. Their mechanism of action is focused on cartilage support, not neurotransmitter modulation or mood regulation.

B. Enhance the immune system: While some supplements may influence immune function, chondroitin and glucosamine are not used for immunomodulation. Their primary role is in musculoskeletal health rather than preventing infections or altering immune responses.

C. Prevent and treat prostate enlargement: These supplements have no effect on prostate tissue or hormonal pathways related to benign prostatic hyperplasia. They are not indicated for urinary or prostate health and do not prevent prostate enlargement.

D. Improve joint functioning: Chondroitin and glucosamine are commonly used to support cartilage structure, reduce joint pain, and improve mobility in conditions such as osteoarthritis. They help maintain joint integrity and may decrease symptoms associated with cartilage degeneration, promoting better overall joint function.

A. Wear a mask while in the room with the toddler. B. Wipe the stethoscope with an alcohol-based gel after use. C. Place the toddler in a room with positive-pressure airflow. D. Schedule the toddler for private time in the playroom.

Correct Answer is B

Explanation

A. Wear a mask while in the room with the toddler: Varicella (chickenpox) is transmitted via airborne and contact routes. Standard precautions include contact and airborne precautions, so an N95 or fitted mask is required rather than a simple mask.

B. Wipe the stethoscope with an alcohol-based gel after use: Cleaning equipment that comes into contact with the client helps prevent the spread of infection. Alcohol-based disinfectants effectively reduce transmission of varicella from shared medical equipment.

C. Place the toddler in a room with positive-pressure airflow: Positive-pressure rooms are used for immunocompromised clients to prevent pathogens from entering. Airborne precautions for varicella require a negative-pressure room to prevent spreading the virus to others.

D. Schedule the toddler for private time in the playroom: Allowing a child with varicella in communal areas risks spreading the virus to susceptible children. The toddler should remain in isolation until lesions crust over.

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A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports the use of chondroitin and glucosamine. The health benefit of this supplement combination is to do which of the following?

Correct Answer is D

Explanation

A nurse is caring for a toddler who has varicella zoster. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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