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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?

A client who has a BUN of 22 mg/dL.

A client who has a serum potassium of 3.3 mEq/L.

A client who has a hematocrit of 55%.

A client who has a WBC of 2,900 cells/mm².

Answer and Explanation

The Correct Answer is D

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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Correct Answer is ["A","B","C","E","F"]

Explanation

Choice A rationale:
Anxiety is a common symptom of somatic symptom disorder, as patients often experience significant distress about their physical symptoms.
Choice B rationale:
Gastrointestinal distress, such as stomach pain and diarrhea, can be manifestations of somatic symptom disorder. These symptoms can cause significant distress and disrupt daily life.
Choice C rationale:
Pain, especially when it is not linked to a clear physical cause, can be a symptom of somatic symptom disorder. The distress caused by the pain is often out of proportion to its severity.
Choice D rationale:
Bipolar disorder is a separate mental health condition and is not a symptom of somatic symptom disorder.
Choice E rationale:
Fixation on health, particularly an excessive preoccupation with physical symptoms, is a key feature of somatic symptom disorder.
Choice F rationale:
Depression can often co-occur with somatic symptom disorder, as the distress and disruption caused by the physical symptoms can lead to feelings of sadness and hopelessness.
Choice G rationale:
Localized amnesia is not a symptom of somatic symptom disorder. It is more commonly associated with other mental health conditions, such as dissociative disorders.

A. Refer the client for flooding therapy. B. Inform the client that the pain is not real. C. Provide reassurance to the client. D. Encourage the client to request invasive cardiac testing.

Correct Answer is C

Explanation

Choice A rationale:
Flooding therapy is not typically used for somatic symptom disorder.
Choice B rationale:
Telling a client that their pain is not real can invalidate their experience and is not a recommended approach for somatic symptom disorder.
Choice C rationale:
Providing reassurance to the client is a recommended approach when all tests are normal and there are no identified risk factors.
Choice D rationale:
Encouraging the client to request invasive cardiac testing is not typically recommended when all tests are normal and there are no identified risk factors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in an outpatient clinic. Exhibits The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.).

Correct Answer is ["A","B","C","E","F"]

Explanation

Correct Answer is C

Explanation

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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?