A client is admitted to an inpatient psychiatric unit, and the antipsychotic medication clozapine is prescribed. Which intervention should the nurse include in this client’s plan of care?
Inform unlicensed assistive personnel (UAP) that the client will likely complain of a sore throat and fever.
Place the client in protective isolation for the first two weeks of treatment with this medication.
Offer this medication to the client with food to decrease the possibility of gastric upset.
Report findings from the client’s weekly white blood cell (WBC) counts to the healthcare provider.
The Correct Answer is D
A. While sore throat and fever can be potential side effects of clozapine, informing UAP is not a proactive intervention. Regular monitoring of white blood cell (WBC) counts is crucial for
detecting clozapine-induced agranulocytosis.
B. Protective isolation is not a standard practice for clients taking clozapine. Monitoring for specific side effects, such as agranulocytosis, is more important.
C. Offering clozapine with food is not a priority intervention for managing potential side effects.
Monitoring and reporting WBC counts take precedence.
D. Clozapine is associated with the risk of agranulocytosis. Regular monitoring of WBC counts is essential, and any findings outside the normal range should be promptly reported to the
healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Conversion disorder involves the manifestation of neurological symptoms without a neurological basis. Sudden blindness with no organic pathology is indicative of a conversion disorder.
B. Complaints of headache and back pain may have organic or psychogenic causes; it does not specifically point to conversion disorder.
C. Extreme anxiety about going outside may be indicative of various anxiety disorders but does not align with the symptoms of a conversion disorder.
D. Complaints of shortness of breath and diaphoresis may have various causes, including medical conditions. It does not specifically indicate a conversion disorder.
Correct Answer is D
Explanation
A. While sore throat and fever can be potential side effects of clozapine, informing UAP is not a proactive intervention. Regular monitoring of white blood cell (WBC) counts is crucial for
detecting clozapine-induced agranulocytosis.
B. Protective isolation is not a standard practice for clients taking clozapine. Monitoring for specific side effects, such as agranulocytosis, is more important.
C. Offering clozapine with food is not a priority intervention for managing potential side effects.
Monitoring and reporting WBC counts take precedence.
D. Clozapine is associated with the risk of agranulocytosis. Regular monitoring of WBC counts is essential, and any findings outside the normal range should be promptly reported to the
healthcare provider.
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