A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility

Exhibits

Which of the following findings should the nurse report to the provider? (Select all that apply.)

Blood glucose level

WBC count

Temperature

Blood pressure

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale: Blood glucose level

A blood glucose level of 200 mg/dL is elevated, suggesting possible hyperglycemia. Clozapine, an atypical antipsychotic, can cause metabolic effects, including insulin resistance, leading to diabetes. This warrants further evaluation by the provider to determine if glucose monitoring or treatment adjustments are needed.

Choice B rationale: WBC count

A WBC count of 4,800/mm³ is low, which is concerning because clozapine can cause agranulocytosis, a severe condition where white blood cells drop significantly, increasing the risk of infection. Since the client is on clozapine, the provider must be informed to assess the need for additional lab monitoring or medication adjustments.

Choice C rationale: Temperature

A temperature of 37.8°C (100.0°F) may indicate a mild fever, which is concerning in the context of a low WBC count. Since clozapine increases infection risk due to potential agranulocytosis, this temperature should be reported to rule out an underlying infection.

Choice D rationale: Blood pressure

A blood pressure of 110/68 mm Hg is within the normal range and does not warrant immediate intervention. It is not concerning in this case.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","D","F"]

Explanation

Choice A rationale: Insomnia

Withdrawal from stimulants like methamphetamine often leads to insomnia, agitation, and restlessness. The body's central nervous system experiences difficulty regulating sleep due to prior overstimulation, making restful sleep challenging.

Choice B rationale: Hypothermia

Hypothermia is not a typical withdrawal symptom of heroin or methamphetamine. Instead, opioid withdrawal more commonly causes hyperthermia (increased body temperature) due to autonomic instability.

Choice C rationale: Hyperreflexia

Hyperreflexia (exaggerated reflexes) is often seen in stimulant withdrawal, including methamphetamine withdrawal, due to neurological overactivity as the body adjusts to the absence of stimulants.

Choice D rationale: Diaphoresis

Profuse sweating (diaphoresis) is a classic symptom of heroin withdrawal, as the body struggles to regulate temperature and autonomic function after stopping opioid use.

Choice E rationale: Slurred speech

Slurred speech is more common in intoxication rather than withdrawal. Opioid withdrawal generally results in restlessness, anxiety, and muscle aches rather than speech impairment.

Choice F rationale: Anxiety

Anxiety is a significant withdrawal symptom for both heroin and methamphetamine, as withdrawal disrupts neurotransmitter balance, particularly dopamine and serotonin regulation.

A. Liver function tests. B. Chest x-ray. C. Prostate-specific antigen test. D. Urine culture.

Correct Answer is A

Explanation

Choice A rationale

Liver function tests, such as alanine aminotransferase (ALT) with a normal range of 7 to 56 U/L for females and 10 to 70 U/L for males, and aspartate aminotransferase (AST) with a normal range of 5 to 40 U/L for both sexes, should be reviewed before administering valproic acid. Valproic acid can cause hepatotoxicity, and pre-existing liver dysfunction is a contraindication or requires careful monitoring.

Choice B rationale

A chest x-ray is primarily used to assess the lungs and heart. It is not directly relevant to the potential side effects or contraindications of valproic acid therapy.

Choice C rationale

A prostate-specific antigen (PSA) test is used to screen for prostate cancer in men. It is not related to the potential adverse effects of valproic acid. The normal range for PSA is generally less than 4 ng/mL, but this can vary with age.

Choice D rationale

A urine culture is used to detect urinary tract infections. While important for overall health assessment, it does not directly assess for contraindications or potential organ-specific side effects associated with valproic acid administration. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits For which of the following manifestations of withdrawal is the client at risk? Select the 4 manifestations of withdrawal for which the client is at risk.

Correct Answer is ["A","C","D","F"]

Explanation

A nurse is caring for a male client who is to begin therapy with valproic acid.Which of the following diagnostic results should the nurse plan to review before administering the first dose?

Correct Answer is A

Explanation

A nurse in a provider's office is collecting data from a client.Which of the following findings should the nurse identify as a risk factor for depression? (Select all that apply.)

A nurse is receiving report on four clients at the beginning of the shift.Which of the following clients should the nurse check first?

A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility Exhibits Complete the following sentence by using the list of options: The nurse should clarify the prescription for clozapine due to the client’s dropdown.

A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits Complete the following sentence by using the lists of options: The nurse should anticipate prescriptions for dropdown as well as dropdown.

A nurse is caring for a client who has a new diagnosis of cancer.The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?

A nurse is caring for a client who has alcohol use disorder.Which of the following findings should indicate to the nurse that the client is experiencing the initial stage of acute withdrawal?

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.The nurse should notify the provider for which of the following findings?

A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility

Exhibits

Which of the following findings should the nurse report to the provider? (Select all that apply.)