A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
A client who is taking lithium and reports weight gain
A client who has bipolar disorder and is speaking loudly
A client who has schizophrenia and is experiencing olfactory hallucinations
A client who is taking clozapine and reports a sore throat
The Correct Answer is D
Clozapine is an antipsychotic medication that can cause agranulocytosis, a potentially life-threatening condition that reduces the number of white blood cells and increases the risk of infection. A sore throat is a sign of infection and should be reported immediately. The other clients are not in immediate danger and can be seen later.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This response demonstrates empathy and respect for the client's feelings, and encourages the client to explore and express his or her emotions. It also allows the nurse to assess the client's situation and provide appropriate support and interventions.
Correct Answer is D
Explanation
The priority for the nurse is to ensure safety for the client and others in the facility. Asking the client about his or her intentions can help the nurse determine the level of risk and plan appropriate interventions, such as setting limits, providing supervision, or initiating seclusion or restraint if necessary.
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