A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

A client who is taking lithium and reports weight gain

A client who has bipolar disorder and is speaking loudly

A client who has schizophrenia and is experiencing olfactory hallucinations

A client who is taking clozapine and reports a sore throat

Answer and Explanation

The Correct Answer is D

Clozapine is an antipsychotic medication that can cause agranulocytosis, a potentially life-threatening condition that reduces the number of white blood cells and increases the risk of infection. A sore throat is a sign of infection and should be reported immediately. The other clients are not in immediate danger and can be seen later.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

B is correct because reporting any adverse effects of the medication can help the provider adjust the dosage or prescribe a different medication if needed. Some common adverse effects of haloperidol are extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, and anticholinergic effects.

C is correct because notifying the provider within 48 hr of manifestations of a relapse can help the client receive timely intervention and prevent further deterioration of their mental health. Some signs of a relapse are increased anxiety, paranoia, social withdrawal, insomnia, and mood swings.

D is correct because going for a walk or engaging in other physical activities can help the client cope with stress and reduce anxiety, which are common triggers for schizophrenia symptoms.

E is correct because asking a trusted person to watch for manifestations of illness can help the client gain insight into their condition and seek help when needed. A trusted person can be a family member, a friend, or a mental health professional.

A is incorrect because taking a dose of the medication as soon as delusions or hallucinations begin is not an effective strategy for relapse prevention. The client should take their medication as prescribed by their provider and not adjust the dosage on their own.

F is incorrect because limiting alcohol consumption to no more than two drinks per week is not sufficient for relapse prevention. Alcohol can interact with haloperidol and increase its sedative effects, impairing the client's judgment and cognition. Alcohol can also worsen schizophrenia symptoms and interfere with recovery. The client should avoid alcohol altogether or consult with their provider before consuming any alcohol.

A. Recreational therapist B. Occupational therapist C. Clinical nurse specialist D. Social worker

Correct Answer is D

Explanation

This team member can help the client find appropriate and affordable housing options, as well as connect them with community resources and support services. The other team members have different roles in the client's care, such as providing recreational activities, occupational skills, or specialized nursing interventions.

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A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D","E"]

Explanation

Who should the nurse contact to assist the client with housing placement for discharge?

Correct Answer is D

Explanation

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.)

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A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

What is the priority finding to report to the provider for a client who has schizophrenia and is taking clozapine?

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