A nurse is caring for a client who is taking clozapine. Which of the following findings should the nurse report to the provider?
Tinnitus
Dizziness
Sore throat
Diaphoresis
The Correct Answer is C
Rationale:
A. Tinnitus: Tinnitus is not a known or common adverse effect of clozapine. While it may indicate another condition, it does not require immediate reporting in the context of clozapine therapy.
B. Dizziness: Dizziness can occur due to clozapine’s hypotensive effects, especially when initiating therapy. It is usually self-limiting and managed symptomatically unless it worsens or affects safety.
C. Sore throat: A sore throat can signal the onset of agranulocytosis, a life-threatening side effect of clozapine marked by a dangerously low white blood cell count. It must be reported immediately for prompt blood count evaluation.
D. Diaphoresis: Diaphoresis may occur with many medications and is not specific to clozapine toxicity or serious adverse effects. It typically does not warrant immediate reporting unless severe or part of a broader concerning symptom complex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Provide a diet high in protein and calories: Children with cystic fibrosis require increased caloric and protein intake due to higher metabolic demands and malabsorption. A high-protein, high-calorie diet supports growth and energy needs, helping to compensate for nutrient loss.
B. Trim the fat from red meat prior to cooking: Fat should not be unnecessarily restricted in the diet of a child with cystic fibrosis. These children need extra fat for energy, and fat-soluble vitamin absorption is often impaired despite enzyme replacement.
C. Give the child hot foods to reduce the sense of fullness: There is no evidence that temperature of food affects satiety in children with cystic fibrosis. The focus should remain on maximizing caloric intake, regardless of food temperature preferences.
D. Administer pancreatic enzymes 30 min after meals: Pancreatic enzymes should be given immediately before or with meals and snacks to aid digestion. Delaying administration reduces their effectiveness and can lead to malabsorption and gastrointestinal symptoms.
Correct Answer is C
Explanation
Rationale:
A. Veracity: Veracity involves telling the truth and providing accurate information. While important in building trust, it is not the ethical principle most relevant to offering emotional presence during grief.
B. Fidelity: Fidelity refers to being faithful to promises and responsibilities, including maintaining confidentiality and following through on care. It does not specifically reflect the act of offering comfort in grief.
C. Beneficence: Beneficence is the act of doing good and promoting the well-being of others. By sitting with the grieving client to provide comfort, the nurse is demonstrating compassion and aiming to alleviate suffering.
D. Autonomy: Autonomy refers to respecting a client’s right to make their own decisions regarding care. While essential in healthcare, it does not directly relate to the nurse’s compassionate presence during bereavement.
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