A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?

Diaphoresis

Fever

Polyuria

Diarrhea

Answer and Explanation

The Correct Answer is B

A. Diaphoresis: Diaphoresis, or excessive sweating, is a common side effect of clozapine and may not necessarily indicate a need for immediate intervention. However, it should be documented and monitored for any changes.
B. Fever: Fever can be a sign of infection, which is a serious concern in clients taking clozapine due to the risk of agranulocytosis, a potentially life-threatening side effect characterized by a severe decrease in white blood cell count. Any signs of infection, including fever, should be reported promptly to the provider for further evaluation and management.
C. Polyuria: Polyuria, or excessive urination, is not typically associated with clozapine use and may be indicative of other underlying issues such as diabetes mellitus or diabetes insipidus. While it should be assessed and managed appropriately, it is not specifically related to clozapine administration and may not require immediate reporting to the provider.
D. Diarrhea: Diarrhea is a common gastrointestinal side effect of clozapine and may occur due to its effects on the gastrointestinal system. While persistent or severe diarrhea should be monitored and managed, it is not typically considered a serious adverse reaction that requires immediate reporting to the provider unless it is accompanied by other concerning symptoms.

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Correct Answer is B

Explanation

A. Hypertension:
Disulfiram does not typically cause hypertension as an adverse effect. However, consuming alcohol while taking disulfiram can lead to a range of cardiovascular effects, including hypotension rather than hypertension.

B. Headache:
Consuming alcohol while taking disulfiram can result in a severe and rapid onset of symptoms known as the disulfiram-alcohol reaction. Headache is a common symptom of this reaction, along with flushing, nausea, vomiting, and palpitations. Therefore, monitoring for headaches is essential in clients taking disulfiram who report alcohol ingestion.

C. Insomnia:
Insomnia is not a commonly reported adverse effect of disulfiram. The disulfiram-alcohol reaction primarily involves physical symptoms rather than disturbances in sleep patterns.

D. Tinnitus:
Tinnitus, or ringing in the ears, is not a typical adverse effect of disulfiram. However, disulfiram can cause a range of neurological symptoms as part of the disulfiram-alcohol reaction, but tinnitus is not commonly reported.

A. Preeclampsia B. Transverse fetal lie C. Post-term pregnancy D. Intrauterine growth restriction

Correct Answer is B

Explanation

A. Preeclampsia: Preeclampsia is not a contraindication for the administration of misoprostol for induction of labor. In some cases, it may even be indicated to prevent complications associated with continuing the pregnancy.
B. Transverse fetal lie: A transverse fetal lie, where the baby is positioned sideways in the uterus, is a contraindication for the administration of misoprostol for induction of labor. Misoprostol is contraindicated when the fetal presentation is not cephalic (head down) due to the risk of complications, including cord prolapse.
C. Post-term pregnancy: Misoprostol is commonly used for induction of labor in post-term pregnancies, where the pregnancy has extended beyond 42 weeks. It helps initiate uterine contractions to stimulate labor and reduce the risk of complications associated with prolonged gestation.
D. Intrauterine growth restriction: Intrauterine growth restriction is not a contraindication for the administration of misoprostol for induction of labor. In such cases, the decision to induce labor would depend on various factors related to fetal well-being and maternal health.

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A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking disulfiram for alcohol use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?

Correct Answer is B

Explanation

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