The nurse should monitor which vital signs in the client who is taking Clozaril (Clozapine).
Blood Pressure
Respirations
Pain
Temperature
The Correct Answer is D
Choice A rationale: Clozapine has no effect on a patient’s blood pressure levels. However, blood pressure monitoring for all patients is crucial but the temperature is more relevant for a patient on clozapine.
Choice B rationale: Clozapine has no effect on an individual’s respiratory rate hence in this case it is not the priority vital sign to monitor.
Choice C rationale: Clozapine use does not cause pain. Furthermore, pain is not a vital sign.
Choice D rationale: One of the side effects of clozapine is agranulocytosis hence this predisposes the patient to infections which may manifest with fever. Therefore, it is important to monitor the patient’s temperature while on treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.
Correct Answer is A
Explanation
Choice A rationale: this is correct since it provides the patient with an opportunity to eat his meals freely whenever they are ready to eat without feeling pressured or threatened.
Choice B rationale: the patient already knows about the benefits of good nutrition but still lacks the motivation to eat owed of his depression hence this may not be very helpful in this situation.
Choice C rationale: this may make the patient feel manipulated and guilty for not eating hence may not be helpful in addressing the underlying situation.
Choice D rationale: this may worsen the patient’s depression and lower their self-esteem since they will receive punishment for their condition rather than being offered the necessary help.
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