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 ["A","C"]

Explanation

Choice A rationale:
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
Choice B rationale:
Delusions are considered positive symptoms of schizophrenia, not negative.
Choice C rationale:
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
Choice D rationale:
Hallucinations are considered positive symptoms of schizophrenia, not negative.
Choice E rationale:
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.

A. A client who has a BUN of 22 mg/dL. B. A client who has a serum potassium of 3.3 mEq/L. C. A client who has a hematocrit of 55%. D. A client who has a WBC of 2,900 cells/mm².

Correct Answer is D

Explanation

Choice A rationale:

A BUN of 22 mg/dL is slightly elevated but not a contraindication for clozapine.

Choice B rationale:

A serum potassium of 3.3 mEq/L is slightly low but not a contraindication for clozapine.

Choice C rationale:

A hematocrit of 55% is high but not a contraindication for clozapine.

Choice D rationale:

A WBC of 2,900 cells/mm² is low and can indicate agranulocytosis, a potentially life-threatening condition. Clozapine should be discontinued.

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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

Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).

Correct Answer is ["A","C"]

Explanation

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

Correct Answer is D

Explanation

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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?