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 C

Explanation

A. "The snakes on the wall are going to eat me" indicates a hallucination, specifically a visual hallucination. Hallucinations involve perceiving something that is not present, such as seeing or hearing things that others do not. This statement does not confirm delusions.

B. Hearing voices instructing harm doesn't confirm delusions but auditory hallucinations.

C. "The nurse at night is trying to poison me with pills" reflects a delusion, specifically a persecutory delusion. Delusions are false, fixed beliefs that are not based in reality and are resistant to reasoning or contradictory evidence. This statement indicates a belief that someone is attempting harm, which is characteristic of delusional thinking.

D. Believing fire is burning the skin could suggest a hallucination involving sensations, not necessarily a delusion.

A. White blood cell count. B. 24-hour urinary output. C. Blood sugar level. D. Current vital signs.

Correct Answer is D

Explanation

A. White blood cell count might be relevant for other conditions but is not specific to NMS.
B. 24-hour urinary output might help evaluate kidney function but is not specific to NMS.
C. Blood sugar level might be important but is not the primary indicator of NMS.
D. Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters.

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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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