A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

Thoughts of wanting to hurt himself.

Frequent days with diarrhea.

Weight gain of 75 pounds (34 kg).

Altered liver function tests.

Answer and Explanation

The Correct Answer is C

A.   Thoughts of wanting to hurt himself might be associated with various mental health conditions or medications but aren't specifically linked to olanzapine.
B.   Diarrhea is a less common side effect of olanzapine and is not among the more frequently reported side effects.
C.   Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases.
D.   Altered liver function tests are less commonly associated with olanzapine use compared to weight gain.

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Correct Answer is ["B","C","E"]

Explanation

A. Mailing education items to the home for batterer treatment options might not be appropriate without the client's consent or discussion.
B. Providing referrals for mental health services aligns with addressing the client's needs.
C. Following up with the client in a few weeks ensures continuity of care and monitoring of the client's progress.
D. Calling the police as a mandatory reporter might be necessary if there's an immediate threat, but it's not mentioned in the scenario.
E. Documenting verbatim statements about the abuse is crucial for accurate record-keeping and legal purposes.

A. Explain that opioid receptor response reduces with continued use. B. Collect information on all sources used to obtain opioids. C. Advise that detoxification will be needed to reattain pain relief. D. Discuss the dangers of using opioids for non-medical purposes.

Correct Answer is A

Explanation

A. Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B. Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C. Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D. Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.

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A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

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Naxlex Comprehensive Predictor Exams

Following the visit, what are appropriate actions for the nurse? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Correct Answer is A

Explanation

The mother of an 8-month-old infant with profound mental and physical disabilities tells the nurse how depressed she is because she realizes that her child will never achieve normal growth and development milestones. How should the nurse respond to this mother?

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