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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Command hallucinations can direct the patient to harm themselves or others, making it the priority to address.
Choice B rationale:
Tactile hallucinations, while distressing, are not typically as immediately dangerous as command hallucinations.
Choice C rationale:
Gustatory hallucinations, while potentially disturbing, do not usually pose an immediate threat.
Choice D rationale:
Visual hallucinations, while potentially distressing, are not typically as immediately dangerous as command hallucinations.
Correct Answer is B
Explanation
Choice A rationale:
Discouraging clients from discussing NSSH with friends may not be beneficial. Open communication can provide support and understanding.
Choice B rationale:
Early recognition is crucial to successful treatment. Timely intervention can prevent the escalation of self-harm behaviors and facilitate recovery.
Choice C rationale:
Recognizing NSSH as an attention-seeking behavior can be a misconception. NSSI is a complex behavior often associated with various underlying issues like emotional distress.
Choice D rationale:
Asking the client why they do this as soon as possible may not always be helpful. The focus should be on understanding their feelings and providing support.
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