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

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B. Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C. Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D. Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

A. Postpartum infection B. Hypertension C. Postpartum hemorrhage D. Thromboembolic events

Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Correct Answer is A

Explanation

A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?

Correct Answer is C

Explanation

A nurse is administering risperidone to a client who has schizophrenia for which of the following adverse effects should the nurse monitor?

A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?

A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years. The nurse notes choreiform movements, lip smacking, and spastic facial distortions. The nurse should document these findings as indicating which of the following conditions?

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following muscles should the nurse inject the medication?

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?