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 B

Explanation

Potassium is 3.0.

This is because furosemide is a loop diuretic that can cause hypokalemia (low potassium levels) as a side effect. Hypokalemia can lead to muscle weakness, cramps, cardiac arrhythmias, and digoxin toxicity. The normal range for potassium is 3.5 to 5.0 mEq/L.

Choice A is wrong because sodium is 144 is within the normal range of 135 to 145 mEq/L.

Choice C is wrong because chloride is 99 is within the normal range of 98 to 106 mEq/L.

Choice D is wrong because calcium is 5.0 is within the normal range of 4.5 to 5.5 mg/dL.

A. Weigh the client. B. Observe skin turgor. C. Ask client about falls. D. Obtain blood pressure. E. Obtain blood sugar.

Correct Answer is ["A","E"]

Explanation

Olanzapine is an antipsychotic drug that can cause weight gain and increased blood sugar as common side effects.

Therefore, the nurse should monitor the client’s weight and blood sugar regularly to prevent complications such as obesity and diabetes.

Choice B is wrong because olanzapine does not affect skin turgor, which is a measure of hydration status.

Choice C is wrong because olanzapine does not cause falls, although it may cause dizziness or unsteadiness as side effect.

Choice D is wrong because olanzapine does not cause significant changes in blood pressure, although it may cause orthostatic hypotension (a drop in blood pressure when standing up) as a side effect.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is started on furosemide 80 mg every morning. Which lab result needs to be reported to the health care provider?

Correct Answer is B

Explanation

A client is prescribed olanzapine for schizophrenia. How will the nurse monitor the client for adverse side effects? (Select all that apply).

Correct Answer is ["A","E"]

Explanation

The nurse calls the healthcare provider using SBAR Communication. Which statement should the nurse make first?

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Which outcome is expected for a client who has a diagnosis of constipation? The client:.

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