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 D
Explanation
D. The affective domain of learning involves the development of attitudes, values, beliefs, and emotions. It encompasses the learner's internalization of values, appreciation, motivation, and the development of a positive attitude towards learning.
A. This refers to the psychomotor domain of learning, which involves the development of physical skills and coordination. It includes actions such as manipulation, coordination, and movement.
B. This relates to motivation and engagement, which can influence the learner's level of involvement and commitment to the learning process.
C. This pertains to the cognitive domain of learning, which involves the acquisition of knowledge, comprehension, application, analysis, synthesis, and evaluation of information. It encompasses intellectual abilities such as understanding, reasoning, problem-solving, and critical thinking.
Correct Answer is B
Explanation
B In Alzheimer's disease, cortical thinning typically begins in the temporal and parietal lobes of the brain, areas associated with memory, language, and higher cognitive functions. As the disease progresses, cortical thinning may extend to other regions of the brain, contributing to the worsening cognitive decline seen in affected individuals.
A. HIV-associated neurocognitive disorders (HAND) can result in various structural and functional changes in the brain, including cortical atrophy, but cortical thinning is not a specific hallmark of HIV infection-related dementia.
C. Prion diseases can lead to spongiform changes and neuronal loss in the brain, but cortical thinning is not typically described as a characteristic feature.
D. Chronic substance abuse, particularly alcohol and certain drugs, can lead to structural and functional changes in the brain, including cortical atrophy. However, cortical thinning is not specific to substance use disorder-related dementia and can occur in various other neurological conditions as well.
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