A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is having a therapeutic effect?
Decreased auditory hallucinations
Control of seizure activity
Weight gain
Decreased WBC count
The Correct Answer is A
A. Clozapine is an antipsychotic medication commonly used to treat schizophrenia.
Reduction in auditory hallucinations is a positive therapeutic outcome indicating the medication's efficacy in managing psychotic symptoms.
B. While clozapine may have antiepileptic properties, it's primarily used for its antipsychotic effects rather than controlling seizures.
C. Weight gain is a common side effect of clozapine rather than an indicator of therapeutic effect.
D. Clozapine is associated with the potential for agranulocytosis, a severe adverse effect characterized by a decreased white blood cell count, but this is not a measure of therapeutic effect.
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Related Questions
Correct Answer is C
Explanation
A. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.
Correct Answer is C
Explanation
A. There's no documented interaction between cefuroxime and sildenafil. Cefuroxime is an antibiotic, and there are no known significant interactions with sildenafil.
B. There's no documented interaction between metformin and sildenafil. Metformin, an antidiabetic medication, does not interact significantly with sildenafil.
C. Both sildenafil and isosorbide are vasodilators, and concomitant use can result in severe hypotension due to additive effects on blood pressure lowering. Therefore, their combination is contraindicated.
D. Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), does not have a significant interaction with sildenafil. They can be safely used together in most cases, although caution may be needed in individuals with cardiovascular risk factors.
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