Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

Red blood cells

Kidney function

Hemoglobin and Hematocrit

White Blood Cells

Answer and Explanation

The Correct Answer is B

Choice A rationale: lithium does not affect the levels of red blood cells hence no monitoring is required during its intake.
Choice B rationale: lithium is excreted in the kidneys hence close kidney function monitoring is essential since it prevents lithium toxicity.
Choice C rationale: lithium does not affect the levels of hemoglobin and hematocrit levels hence no frequent monitoring is required during its intake.
Choice D rationale: lithium does not affect the levels of white blood cells hence no monitoring is required during its intake.

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Correct Answer is A

Explanation

Choice A rationale: Clozapine is an antipsychotic medication associated with agranulocytosis which is a condition where the bone marrow does not provide enough white blood cells. This increases an individual’s risk of infections. Therefore, frequent blood tests should be performed on an individual taking this medication to monitor the WBC count and stop the medication if need be.
Choice B rationale: clozapine is not associated with a low hemoglobin level. Anemia may be caused by conditions such as iron deficiency, chronic conditions such as chronic kidney disease, and vitamin B12 deficiency.
Choice C rationale: An increase in white blood cell count is not a side effect of clozapine but can be caused by infections. Clozapine causes low white blood cell count.
Choice D rationale: blood in urine is not a side effect of clozapine but can be caused by the use of medications such as cyclophosphamide.

A. "Don't stress over it. Everything will turn out fine.” B. "You should talk to your husband and not keep things inside.” C. "Why did you do that?" D. "It must be difficult for you to feel that way. E. “Tell me more about what you are feeling”

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

Explanation

Choice A rationale: this response is dismissive of the patient’s feelings and concerns and does not acknowledge the patient’s reality and perspective. It implies that the patient is overreacting and may make the client feel judged and ignored.
Choice B rationale: this response is intrusive and prescriptive since the patient’s reasons and preferences are not considered. it assumes that the patient has a husband and that they have a good relationship together which may not be the case.
Choice C rationale: this response is accusatory and confrontational while implying that the patient’s behavior was wrong and unacceptable. Furthermore, it focuses on the past rather than the present or the future which is relevant in this case. It also makes the patient feel guilty and ashamed which may impair their ability to open up hence ineffective care.
Choice D rationale: This response is empathic and validating. It reflects the patient's feelings and shows understanding and compassion. It does not judge or minimize the patient's emotions, and it invites the patient to share more if they wish. This response could make the patient feel heard, supported, and respected.
Choice E rationale: this response encourages the patient to open up and express their thoughts and feelings. This makes the patient feel valued and empowered thus allowing them to share their feelings at their own pace.

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Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

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Naxlex Comprehensive Predictor Exams

A client is on Clozaril (Clozapine). The nurse is aware that frequent blood work is essential during the first 6 months of treatment to monitor for the presence of what?

Correct Answer is A

Explanation

In communicating with the psychiatric patient, which nurse responses could block effective communication with a client? (Select all that apply)

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

Explanation

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.

In the psychiatric unit bright colors in the environment of the client are often:

When communicating with an angry patient; the nurse must first:

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Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

Barriers to therapeutic communication include probing, giving advice and

A client has borderline personality disorder. Which Axis will the nurse document this information?