A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Random blood glucose 130 mg/dL.
Heart rate 104/min.
Nausea
Sore throat.
The Correct Answer is D
The correct answer is choice d. Sore throat. Choice A rationale: A random blood glucose level of 130 mg/dL is slightly elevated but not immediately concerning. It should be monitored, especially since clozapine can cause metabolic changes, but it is not the priority. Choice B rationale: A heart rate of 104/min is slightly elevated and could be a side effect of clozapine, which can cause tachycardia. However, it is not as urgent as other potential side effects. Choice C rationale: Nausea is a common side effect of many medications, including clozapine. While uncomfortable, it is not typically a priority concern unless it leads to severe dehydration or other complications. Choice D rationale: A sore throat can be a sign of agranulocytosis, a potentially life-threatening condition where the white blood cell count drops dangerously low. Clozapine is known to cause this condition, and it requires immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is C
Explanation
The correct answer is c. Recent head injury.
Rationale for choice c:
- Bupropion lowers the seizure threshold.
- Individuals with a history of head injury have an increased risk of seizures.
- Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
- It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.
Rationale for choice a:
- Hepatitis B infection does not generally contraindicate the use of bupropion.
- However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.
Rationale for choice b:
- Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
- While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.
Rationale for choice d:
- Hypothyroidism also does not contraindicate bupropion use.
- However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.
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