A nurse is educating a client who is prescribed clozapine.
Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Respiratory depression and a comatose state.
Sore throat and muscle aches.
Increased anxiety and suicidal ideations.
Severe restlessness.
The Correct Answer is B
Choice A rationale:
Respiratory depression and a comatose state are not typically associated with agranulocytosis.
Choice B rationale:
Agranulocytosis, a potential side effect of clozapine, can cause symptoms like a sore throat and muscle aches due to the body’s decreased ability to fight off infections.
Choice C rationale:
Increased anxiety and suicidal ideations are not typically symptoms of agranulocytosis.
Choice D rationale:
Severe restlessness is not a common symptom of agranulocytosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Taking lithium on an empty stomach is not necessary. Lithium can be taken with or without food.
Choice B rationale:
Excessive salivation is not a common side effect of lithium.
Choice C rationale:
Vomiting or diarrhea can lead to dehydration, which increases the risk of lithium toxicity by reducing the excretion of lithium. Therefore, it’s important to notify your provider if you experience these symptoms.
Choice D rationale:
Decreasing fluid intake can lead to dehydration and increase the risk of lithium toxicity. It’s recommended to maintain a normal fluid intake while taking lithium.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Benadryl (Diphenhydramine) is an antihistamine that can be used to treat extrapyramidal symptoms (EPS)5.
Choice B rationale:
Artane (Trihexyphenidyl) is an anticholinergic medication used to treat EPS5.
Choice C rationale:
Flumazenil is not typically used to treat EPS5.
Choice D rationale:
Cogentin (Benztropine) is an anticholinergic medication used to treat EPS5.
Choice E rationale:
Acetylcysteine is not typically used to treat EPS5.
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