A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam.
Which of the following laboratory results should the nurse report to the provider?

Hemoglobin 16 g/dL.

WBC Count 8,000/mm3.

RBC Count 4.9 million/mm².

Platelets 100,000/mm3.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Hemoglobin levels at 16 g/dL are within the normal range for an adult, so there is no need to report this result to the provider.

Choice B rationale:

A white blood cell (WBC) count of 8,000/mm3 is within the normal range, and there is no need to report this result to the provider.

Choice C rationale:

An RBC count of 4.9 million/mm² is within the normal range for adults, so it does not require reporting to the provider.

Choice D rationale:

A platelet count of 100,000/mm3 is below the normal range (typically 150,000-450,000/mm3). This lower platelet count can increase the risk of bleeding and may be associated with clonazepam use. Therefore, it should be reported to the provider for further evaluation and potential adjustment of the medication.

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Correct Answer is A

Explanation

Refer the client to a self-help group.

Choice B rationale:

Teach the client to practice systematic desensitization. Systematic desensitization is a therapeutic technique primarily used for phobias and anxiety disorders. It is not a standard treatment for alcohol use disorder. While it might help with some aspects of anxiety related to substance abuse, it is not a core recommendation for this condition.

Choice C rationale:

Request a discharge prescription for buprenorphine for the client. Buprenorphine is typically prescribed for opioid use disorder, not alcohol use disorder. It is not an appropriate medication for treating alcohol addiction.

Choice D rationale:

Contact a close relative of the client to discuss the discharge plan. Involving a close relative in the discharge plan can be beneficial for providing social support and ensuring a safer transition. However, it is not the primary recommendation. Referring the client to a self-help group (Choice A) is more focused on addressing the alcohol use disorder directly.

A. Stop the newly licensed nurse from administering the medication. B. Assess the need for physical restraints. C. Demonstrate how to verbally de-escalate the situation. D. Discuss the purpose of the medication with the client.

Correct Answer is A

Explanation

Answer is: **Stop the newly licensed nurse from administering the medication.**

Explanation:the first step in dealing with a client who is manic and refuses treatment is to stop the nurse from administering the medication. This is because giving an injection to a patient in an agitated and manic state could be dangerous for both the patient and the nurse¹². The nurse manager should follow the principle of least restrictive intervention when handling such a situation².

The other options are incorrect because:

- Assessing the need for physical restraints is not a priority action, as it may escalate the situation and cause more harm than good¹².
- Demonstrating how to verbally de-escalate the situation is also not a priority action, as it may not be effective if the client is too agitated or irrational to listen¹².
- Discussing the purpose of the medication with the client may be helpful, but it should be done after assessing the need for physical restraints and trying other methods of communication¹².

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A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam.Which of the following laboratory results should the nurse report to the provider?

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A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam.
Which of the following laboratory results should the nurse report to the provider?