A nurse is reinforcing education to 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
The Correct Answer is C
A. Severe restlessness. Severe restlessness, known as akathisia, is a potential side effect of antipsychotic medications but is not indicative of agranulocytosis. Akathisia is associated with excessive movement and an inability to stay still, often requiring dose adjustment or medication to alleviate symptoms.
B. Respiratory depression and a comatose state. Respiratory depression and coma are not linked to agranulocytosis but may occur with overdose or central nervous system depression. Agranulocytosis affects white blood cell levels, leading to increased infection risk rather than sedation or respiratory suppression.
C. Sore throat and muscle aches. Sore throat and muscle aches are early signs of agranulocytosis, a potentially life-threatening condition characterized by a dangerously low neutrophil count. Clients taking clozapine must undergo regular white blood cell monitoring to detect agranulocytosis early and prevent severe infections.
D. Increased anxiety and suicidal ideations. Increased anxiety and suicidal ideations may be related to psychiatric conditions or medication effects but are not specific to agranulocytosis. Clozapine is primarily used for treatment-resistant schizophrenia and may help reduce suicidal behavior rather than induce it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A relapse plan explains how you can be hospitalized if needed. A relapse plan focuses on early symptom recognition and intervention rather than hospitalization. While hospitalization may be necessary in severe cases, the primary goal is to prevent relapse through proactive measures.
B. A relapse plan addresses your living, housing, and working needs. While stable housing and employment are important for recovery, a relapse plan is specifically designed to identify early warning signs and strategies to prevent symptom exacerbation rather than addressing broader social needs.
C. A relapse plan describes how you use coping strategies for living in the community. While coping strategies are included, a relapse plan is more comprehensive, incorporating early symptom detection, medication adherence, and support systems to prevent deterioration.
D. A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse. Recognizing early symptoms of schizophrenia and implementing preplanned interventions can reduce the likelihood of a full relapse, allowing for timely adjustments in treatment and support.
Correct Answer is D
Explanation
A. Neurotransmitters are chemical components that allow neurons to store energy for future use. Neurotransmitters do not store energy; they facilitate communication between neurons by transmitting signals across synapses. Their primary function is to modulate brain activity, not energy storage.
B. Neurotransmitters are activated by the enzyme transferase. Neurotransmitters are not activated by transferase. They are synthesized, stored in vesicles, and released into the synaptic cleft in response to an action potential, where they bind to receptors to elicit a response.
C. Neurotransmitters function by inhibiting the production of glucose. Neurotransmitters do not inhibit glucose production. They play a role in neuronal signaling, affecting mood, cognition, and physiological processes, but do not directly regulate glucose metabolism.
D. Neurotransmitters are found throughout the body. Neurotransmitters exist in both the central and peripheral nervous systems, regulating various functions such as mood, movement, and autonomic responses. They are essential for communication between neurons in the brain and throughout the body.
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