A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
The importance of routine red blood cell count laboratory work when taking an antipsychotic
The importance of limiting fluid intake when taking an antipsychotic
The importance of avoiding foods that contain tyramine when taking an antipsychotic
The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic
The Correct Answer is D
A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.
B. Limiting fluid intake is not typically a specific concern associated with clozapine.
C. Clozapine is not known to have significant interactions with tyramine-rich foods
D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.
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Related Questions
Correct Answer is C
Explanation
C. Stalking involves persistent and unwanted attention or behavior directed towards a specific individual, causing fear, distress, or concern for their safety. Stalking behaviors may include following the victim, surveillance, unwanted communication (such as letters, emails, or messages), vandalism, or leaving gifts or items at the victim's location
A. Bullying involves aggressive behavior or intentional harm directed toward another person, typically in a repeated or habitual manner.
B. Abandonment refers to the act of deserting or leaving someone or something behind, often without adequate support or care.
D. Assault involves the intentional infliction of physical harm or injury on another person, or the threat of such harm, causing fear or apprehension of imminent harm.
Correct Answer is D
Explanation
D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.
A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.
B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.
C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.
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