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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:
Fluvastatin is a medication used to treat high cholesterol. It is not used to treat mania in bipolar disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used for treating anxiety, not typically used as a first-line treatment for mania.
Choice C rationale:
Carbamazepine is an anticonvulsant that is used as a mood stabilizer in the treatment of bipolar disorder. It can help reduce symptoms of mania.
Choice D rationale:
Propranolol is a beta-blocker used to treat high blood pressure and heart conditions. It is not typically used to treat mania in bipolar disorder.

A. Ask the client direct questions about the hallucination. B. Instruct the client to argue with the voices that are a part of the hallucination. C. Act to the client as if the hallucination is real. D. Tell the client that the hallucination is not a part of reality.

Correct Answer is D

Explanation

Choice A rationale:
Asking direct questions about the hallucination may validate the hallucination as real in the client’s mind.
Choice B rationale:
Instructing the client to argue with the voices could potentially increase the client’s distress.
Choice C rationale:
Acting as if the hallucination is real may reinforce the client’s belief in the hallucination.
Choice D rationale:
Telling the client that the hallucination is not a part of reality can help ground the client in reality.

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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?

Nursing Test Bank

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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?