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. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.
A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.
B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.
D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.
Correct Answer is A
Explanation
A. Acute toxicity to sedatives, especially at high doses, can lead to various central nervous system effects, including severe hallucinations. Hallucinations can involve distorted perceptions of sensory experiences, such as seeing, hearing, or feeling things that are not present. These hallucinations may be vivid, intense, and disturbing, especially during acute intoxication.
B. Negative symptoms are more commonly associated with chronic psychotic disorders like schizophrenia rather than acute toxic reactions.
C. Prolonged hallucinations are less characteristic of acute toxicity and are more commonly seen in conditions like schizophrenia or certain drug-induced psychotic disorders.
D. Prolonged delusions typically characterize chronic psychotic disorders rather than acute toxic reactions.
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