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 A
Explanation
A. To identify possible surgical risks
This is the priority in the preoperative phase to ensure safety and prevent complications.
B. To recognize resources needed postoperatively
Important for discharge planning but not the immediate priority before surgery.
C. To determine understanding of the procedure
Informed consent is necessary, but identifying risk is more urgent to prevent harm.
D. To establish the need for psychological support
Helpful for emotional care, but not the most critical preoperative concern.
Correct Answer is D
Explanation
A. Metabolic alkalosis
The pH is acidic, and HCO₃ is normal. This rules out metabolic alkalosis.
B. Metabolic acidosis
HCO₃ is normal, so metabolic acidosis is unlikely.
C. Respiratory alkalosis
Alkalosis would have pH > 7.45; this pH is acidic.
D. Respiratory acidosis
pH is low (acidic), and CO₂ is high-this is classic respiratory acidosis.
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