Which response by the client indicates that medication instruction by the RN has been effective?

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”.

“I will urinate less when taking Clozaril, and that is normal.”.

“I will use the Clozaril as needed for delusions and hallucinations.”.

“Clozaril is now available over-the-counter and in a generic form.”.

Answer and Explanation

The Correct Answer is A

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.” This indicates that the client understands that Clozaril (clozapine) is an antipsychotic medication that can affect the immune system and cause a serious blood disorder called agranulocytosis. The client needs to have regular blood tests to monitor the white blood cell count and prevent infections.

Choice B is wrong because Clozaril can cause urinary retention, not decreased urination. The client should be advised to report any difficulty or pain when urinating.

Choice C is wrong because Clozaril is not a PRN medication. It should be taken regularly as prescribed by the doctor to maintain a therapeutic level and prevent relapse of psychotic symptoms.

Choice D is wrong because Clozaril is not available over the counter or in a generic form. It is a controlled substance that requires a special program and a certified pharmacy to dispense it.

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Correct Answer is C

Explanation

This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.

Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis

C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.

Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.

Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis

C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis

C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis

C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.

Some common tests are:

Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.

A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.

HCV RNA test: This test measures the amount of hepatitis C virus in the blood.

A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.

HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.

A. Metoprolol. B. Hydrochlorothiazide. C. Enoxaparin. D. Atorvastatin.

Correct Answer is B

Explanation

The nurse should hold and notify the prescriber because hydrochlorothiazide is a diuretic that can lower the serum potassium level. The client already has a high serum potassium level of 5.2 mmol/L, which is above the normal range of 3.5 to 5.0 mmol/L.

Giving hydrochlorothiazide could worsen the client’s condition and cause hypokalemia.

Choice A is wrong because metoprolol is a beta-blocker that can lower the blood pressure and heart rate.

The client’s blood pressure and heart rate are not given, so there is no reason to hold metoprolol based on the information provided.

Choice C is wrong because enoxaparin is an anticoagulant that can prevent blood clots. The client has a low platelet count of 98,000/mm, which is below the normal range of 150,000 to 450,000/mm.

However, this does not contraindicate the use of enoxaparin, unless the client has signs of bleeding or bruising.

Choice D is wrong because atorvastatin is a statin that can lower the serum cholesterol

level. The client has a high serum cholesterol level of 250 mg/dL, which is above the desirable level of less than 200 mg/dL.

Giving atorvastatin could help reduce the client’s risk of cardiovascular complications.

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Which response by the client indicates that medication instruction by the RN has been effective?

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Naxlex Comprehensive Predictor Exams

A client is diagnosed with hepatitis. C.Which client risk factor would be most related to this diagnosis?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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