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?
A decrease in white blood cells
A low hemoglobin levels
An increase in white blood cells
Blood in the urine
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: this is a type of delusion involving the misinterpretation of random events as having personal significance or reference.
Choice B rationale: flight of ideas refers to a disordered thinking process involving rapid shifts from one topic to another. The client’s speech is often incoherent and difficult to follow.
Choice C rationale: this is a type of memory distortion involving the fabrication of stories or details to fill the gaps in an individual’s memory. Usually occurs in conditions such as dementia, substance abuse, and brain damage.
Choice D rationale: this refers to the repetition of the same word, phrase, or action over and over without being able to stop or switch to something else. Occurs in conditions such as schizophrenia, brain injury, or a stroke.
Correct Answer is D
Explanation
Choice A rationale: Increased sensitivity to light is a possible side effect of some antipsychotic medications, but it is not necessarily caused by flickering lights.
Choice B rationale: aggression is a symptom of schizophrenia but is not directly triggered by flickering lights.
Choice C rationale: over-stimulation is not caused by flickering lights but can instead be caused by excessive sensory input.
Choice D rationale: Flickering lights may trigger or worsen these hallucinations by creating sensory illusions or distortions, for instance, a client may see shadows, shapes, or colors that are not there.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today