The nurse teaches about medication to a client who has just been diagnosed with schizophrenia. The psychiatrist has prescribed clozapine to the client. Which primary adverse effect should the nurse point out to the client?

weight loss

metabolic syndrome

dystonia

hypoglycemia

Answer and Explanation

The Correct Answer is B

Rationale:
A. Weight loss is incorrect because clozapine usually causes significant weight gain rather than weight loss. This occurs due to increased appetite, changes in metabolism, and effects on neurotransmitters like histamine and serotonin that regulate satiety. Weight loss is not considered a primary concern with clozapine therapy.

B. Metabolic syndrome is correct because clozapine, an atypical (second-generation) antipsychotic, is strongly associated with metabolic side effects. These include weight gain, dyslipidemia (high triglycerides and cholesterol), and insulin resistance or new-onset diabetes. Collectively, these changes increase the risk of metabolic syndrome, cardiovascular disease, and long-term morbidity. The nurse should educate the client about regular monitoring of weight, waist circumference, fasting glucose, and lipid profile, maintaining a healthy diet, and engaging in regular physical activity.

C. Dystonia is incorrect because this acute extrapyramidal side effect is more commonly associated with first-generation antipsychotics like haloperidol. Clozapine rarely causes dystonia.

D. Hypoglycemia is incorrect because clozapine does not lower blood glucose. On the contrary, it may cause hyperglycemia or diabetes mellitus due to its effects on insulin sensitivity and weight gain.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C","dropdown-group-3":"B"}

Explanation

Rationale

Airborne — Tuberculosis
Tuberculosis is transmitted through airborne droplet nuclei released into the air when an infected person coughs, sneezes, speaks, or sings. These droplets can remain suspended in the air and be inhaled by others.

Vector-borne — Zika virus
Zika virus is primarily transmitted through the bite of infected Aedes mosquitoes, making it a vector-borne disease.

Waterborne — Cholera
Cholera is caused by Vibrio cholerae and is transmitted through ingestion of contaminated water or food, classifying it as a waterborne disease.

A. her partner will change. B. she is partly to blame for the abuse. C. If she leaves, he will escalate the abuse. D. she has no place to go. E. she can help her abuser.

Correct Answer is ["A","B","C","D","E"]

Explanation

Rationale:

A. Many women hope the abuser will modify their behavior over time. This belief may stem from periods of calm or apologies between abusive episodes, creating intermittent reinforcement that fosters hope and attachment despite ongoing harm.

B. Victims often internalize the abuser’s manipulative messaging, believing their actions or failures trigger the abuse. This self-blame reinforces feelings of shame and guilt, making it harder to seek help or leave.

C. Separation can increase the risk of severe violence, stalking, or homicide. Women may stay to protect themselves or their children, believing that leaving could provoke a dangerous retaliation.

D. Economic dependence, lack of family or social support, and limited access to shelters or affordable housing are significant barriers. Even when emotionally ready to leave, practical constraints can trap women in unsafe environments.

E. Some women feel responsible for “fixing” their partner or believe that counseling, emotional support, or love can stop the violence. This sense of responsibility often prolongs the abusive relationship.

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The nurse teaches about medication to a client who has just been diagnosed with schizophrenia. The psychiatrist has prescribed clozapine to the client. Which primary adverse effect should the nurse point out to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Please match the disease to its mode of transmission. Airborne dropdown Vector-borne dropdown Waterborne dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C","dropdown-group-3":"B"}

Explanation

The community health nurse knows that, frequently, a woman will stay relationship because she believes that.... Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

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