A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?
A client who is taking thioridazine and has daytime drowsiness
A client who is taking olanzapine and experiences dizziness when first standing up
A client who is taking clozapine, and has flu-like manifestations
A client who is taking chlorpromazine and reports vomiting twice
The Correct Answer is C
A. Thioridazine and drowsiness
A common side effect, not urgent.
B. Olanzapine and dizziness
Orthostatic hypotension-monitor, but not emergent.
C. Clozapine and flu-like symptoms
Could indicate agranulocytosis, a life-threatening condition-requires immediate evaluation.
D. Chlorpromazine and vomiting
Requires monitoring, but not as urgent as option C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain a blood sample for a serum sodium level
Not directly related to the immediate issue of hyperkalemia.
B. Advise the client to add citrus juices and bananas
These are high in potassium and should be avoided in hyperkalemia.
C. Suggest salt substitutes
Many salt substitutes contain potassium-contraindicated in hyperkalemia.
D. Obtain a 12-lead ECG
Hyperkalemia affects cardiac conduction-immediate ECG monitoring is critical.
Correct Answer is C
Explanation
A. Partner with a nonprofit farmers' market.
Helpful for food access, but doesn’t address transportation or mobility for elderly.
B. Teach dangers of lead-based paint.
Relevant for younger populations or in homes with children.
C. Advocate for more transportation to health facilities.
Most appropriate for helping elderly on fixed incomes access care.
D. Write grants for childcare funding.
Beneficial for children, but not relevant to the elderly population in question.
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