A nurse is caring for a client who has a new prescription for clozapine. Which of the following should the nurse recognize as an adverse effect of this medication?
Diarrhea
Hypoglycemia
Agranulocytosis
Urinary frequency
The Correct Answer is C
A. Diarrhea: Diarrhea is not a common adverse effect of clozapine. Gastrointestinal symptoms may occur with some antipsychotics, but diarrhea is not a primary concern with clozapine therapy.
B. Hypoglycemia: Clozapine is more commonly associated with hyperglycemia and increased risk of diabetes mellitus, rather than hypoglycemia. Blood glucose monitoring may be needed in clients at risk.
C. Agranulocytosis: Clozapine can cause severe neutropenia or agranulocytosis, which increases the risk of infection. Regular monitoring of white blood cell counts is essential, and any signs of infection should prompt immediate evaluation.
D. Urinary frequency: Urinary frequency is not a typical adverse effect of clozapine. Anticholinergic effects like urinary retention are more commonly associated with this medication, rather than increased frequency.
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Related Questions
Correct Answer is D
Explanation
A. "I will use a loud tone of voice when speaking with the client.": Using a loud voice is unnecessary and can be perceived as patronizing. Expressive aphasia affects the client’s ability to communicate verbally, not their hearing, so volume does not improve understanding.
B. "I will repeat words not heard by the client.": Repeating words is not effective for clients with expressive aphasia, as their difficulty is in expressing language, not in hearing or comprehension. Repetition does not address the communication barrier.
C. "I will over articulate words when speaking.": Over-articulation is not typically helpful and may confuse the client. Clear, simple language and appropriate pacing are more effective than exaggerating speech.
D. "I will get the client's attention before speaking.": This statement indicates understanding of effective communication strategies for expressive aphasia. Gaining the client’s attention helps ensure they are focused and ready to process language, facilitating better interaction and comprehension.
Correct Answer is B
Explanation
A. Furosemide: Furosemide is a loop diuretic that promotes potassium excretion. It does not need to be withheld for a mildly elevated potassium level; in fact, it may help lower potassium levels in hyperkalemia.
B. Spironolactone: Spironolactone is a potassium-sparing diuretic that can increase serum potassium. With a level of 5.2 mEq/L, administering spironolactone could worsen hyperkalemia and increase the risk of cardiac complications, so the dose should be withheld and the provider notified.
C. Metoprolol: Metoprolol, a beta-blocker, does not typically raise potassium levels significantly. While beta-blockers can slightly affect potassium, withholding is not indicated solely based on a potassium level of 5.2 mEq/L.
D. Atorvastatin: Atorvastatin, a lipid-lowering agent, has no effect on serum potassium levels and does not need to be withheld in this situation. It can be continued safely.
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