The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

White blood cell count

Potassium level

BUN/Creatinine

Sodium level

Answer and Explanation

The Correct Answer is A

A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.

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Correct Answer is C

Explanation

A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.

A. Hyperglycemia event B. Captopril (Capoten) side effect C. Verapamil (Calan) side effect D. Digoxin (Lanoxin) toxicity

Correct Answer is D

Explanation

A. Hyperglycemia typically does not cause blurry vision and yellow/green halos.
B. Captopril (Capoten) is an ACE inhibitor and is not associated with visual disturbances like halos.
C. Verapamil (Calan) is a calcium channel blocker and does not typically cause visual symptoms such as halos.
D. Digoxin (Lanoxin) toxicity can lead to visual disturbances, including blurry vision and seeing yellow/green halos, which are classic signs of toxicity.

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The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

Correct Answer is C

Explanation

The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

Correct Answer is D

Explanation

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