A client diagnosed with schizophrenia is prescribed clozapine. The nurse teaches the client and family to call the physician immediately if:

There are any signs of infection.

There is a decrease in hallucinations.

Appetite continues to decrease after one week.

Insomnia occurs for more than two nights.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Clozapine is known to cause agranulocytosis, a potentially life-threatening condition where the white blood cell count drops significantly, leading to a higher risk of infection. Patients on clozapine must have regular blood tests to monitor their white blood cell count. Any signs of infection, such as fever, sore throat, or flu-like symptoms, should be reported to a physician immediately as they could indicate agranulocytosis.

Choice B Reason:

A decrease in hallucinations is generally a positive sign indicating that the medication is working effectively. It is not a reason to call the physician immediately. Instead, this should be discussed during regular follow-up appointments to assess the overall effectiveness of the treatment.

Choice C Reason:

While a decrease in appetite can be a side effect of clozapine, it is not typically an emergency unless it leads to significant weight loss or malnutrition. This should be monitored and discussed with the physician during regular visits. If the decrease in appetite is severe or persistent, it may warrant a call to the physician, but it is not as urgent as signs of infection.

Choice D Reason:

Insomnia can occur with clozapine use, but it is usually managed with adjustments to the medication regimen or additional treatments for sleep. While it is important to address insomnia, it does not require immediate medical attention unless it severely impacts the patient’s well-being.

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Free Nursing Study Resources

Correct Answer is ["5"]

Explanation

Step-by-Step Calculation

Step 1: Identify the volume of one container in milliliters.

1 ounce = 29.5735 mL
6 ounces = 6 × 29.5735 mL = 177.441 mL

Step 2: Determine the total volume needed.

Total volume needed = 850 mL

Step 3: Calculate the number of containers required.

Number of containers = Total volume needed ÷ Volume of one container
Number of containers = 850 mL ÷ 177.441 mL

Step 4: Perform the division.

850 mL ÷ 177.441 mL ≈ 4.79

Step 5: Round to the nearest whole number.

4.79 rounded to the nearest whole number = 5

Result: The minimum number of containers of juice needed is 5.

Final Answer: 5 containers

A. Uses relaxation techniques for stress reduction. B. Expresses an interest in yoga to improve flexibility. C. Has tried acupressure for pain relief several years ago. D. Has been using herbal supplements without consulting a healthcare provider.

Correct Answer is D

Explanation

Choice A Reason:

Uses relaxation techniques for stress reduction.

Using relaxation techniques for stress reduction is generally considered safe and beneficial. Techniques such as deep breathing, meditation, and progressive muscle relaxation can help reduce stress and anxiety without significant risks. Therefore, this information does not require immediate investigation.

Choice B Reason:

Expresses an interest in yoga to improve flexibility.

Expressing an interest in yoga to improve flexibility is also generally safe and beneficial. Yoga can enhance physical flexibility, strength, and mental well-being. Unless the client has specific health conditions that might be affected by certain yoga poses, this information does not require immediate investigation.

Choice C Reason:

Has tried acupressure for pain relief several years ago.

Trying acupressure for pain relief several years ago is not typically a cause for concern. Acupressure is a non-invasive therapy that can help alleviate pain and promote relaxation. Since it was used in the past and not currently, it does not require immediate investigation.

Choice D Reason:

Has been using herbal supplements without consulting a healthcare provider.

This is the correct response. Using herbal supplements without consulting a healthcare provider can be risky because some supplements can interact with prescribed medications or have side effects. It is crucial for the nurse to investigate this information immediately to ensure the client’s safety and prevent potential adverse effects.

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A client diagnosed with schizophrenia is prescribed clozapine. The nurse teaches the client and family to call the physician immediately if:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse must prepare an oral contrast solution in 850 mL of apple juice. There are 6-ounce containers of apple juice in the pantry. What is the minimum number of containers of juice to make 850 mL? (Round the answer to the nearest whole container)

Correct Answer is ["5"]

Explanation

The nurse is completing an admission assessment of a client who is admitted to milieu. Which piece of information obtained from the client during the assessment would require immediate investigation from the nurse regarding the client’s use of complementary and alternative therapies?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. The client is in the dayroom and shouting at other clients, stating, “Do not eat the food here. The staff is poisoning the food!” The nurse should document that the client is experiencing which type of delusion?

A nurse working on a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. Which of the following are therapeutic communication techniques? (SELECT ALL THAT APPLY)

A client diagnosed with Obsessive-Compulsive Disorder has developed a number of compulsive washing rituals over the years. The nurse recognizes that these behavioral rituals serve which purpose?

A client is having trouble remembering to take his antipsychotic medication, risperidone 3 mg PO, BID. The treatment team at the clinic he attends is considering starting him on risperidone 10 mg IM every 2 weeks. The rationale for this is:

Group therapy is strongly encouraged, but not mandatory, in an inpatient psychiatric unit. The unit manager’s policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager’s policy preserve?

A nurse is teaching a class about manual therapies. The nurse should include that which of the following treatments is part of chiropractic medicine?

An inpatient on the psychiatric unit is having a panic attack. An appropriate nursing intervention at this time would be to: