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?

Severe restlessness

Respiratory depression and a comatose state

Sore throat and muscle aches

Increased anxiety and suicidal ideations

Answer and Explanation

The Correct Answer is C

C. Agranulocytosis is a serious side effect associated with clozapine, an antipsychotic medication. Agranulocytosis is characterized by a severe reduction in the number of white blood cells (specifically granulocytes) in the bloodstream, leading to an increased risk of infection. The client should be educated to monitor for signs and symptoms of agranulocytosis, including sore throat, fever, chills, and muscle aches, as these may indicate an underlying infection due to neutropenia.

A. Severe restlessness may be a side effect of some antipsychotic medications, but it is not specifically associated with agranulocytosis.

B. Respiratory depression and a comatose state are not typical manifestations of agranulocytosis.

D. Increased anxiety and suicidal ideations may be symptoms of certain mental health conditions or adverse effects of psychiatric medications, but they are not characteristic of agranulocytosis.

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Free Nursing Study Resources

Correct Answer is B

Explanation

B. The symptoms described—hyperactivity, impulsivity, and inattentiveness—are characteristic of attention-deficit/hyperactivity disorder (ADHD). Central nervous system (CNS) stimulants, such as methylphenidate or amphetamine-based medications, are commonly prescribed as first- line treatments for ADHD.

A. While dopamine dysregulation is implicated in ADHD, dopamine antagonists are more commonly used to treat psychotic disorders such as schizophrenia.

C. While they may be prescribed for conditions such as depression, anxiety, and certain other mood disorders, they are not typically used as first-line treatment for ADHD.

D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures. They are not indicated for the treatment of ADHD and do not address the core symptoms of the disorder.

A. Relapses signal failure of the abstinence plan, and the plan must be changed. B. Relapses may indicate that the client has very little willpower. C. Relapses should be expected and be looked at as an opportunity. D. Relapses are rare and unlikely to occur.

Correct Answer is C

Explanation

C. This statement emphasizes a crucial aspect of relapse prevention in substance use disorder treatment. Relapses are common in the recovery process and should not be seen as failures but rather as opportunities for learning and growth.

A. Relapses are common in the course of recovery from substance use disorders and do not necessarily indicate failure.

B. Relapse is not solely a result of willpower or lack thereof. It involves various factors, including biological, psychological, social, and environmental influences.

D. Relapses are common in the journey of recovery from substance use disorders, especially in the early stages when individuals are still learning to navigate triggers and develop coping strategies.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

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?

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