The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

Loss of appetite

Insomnia

Emotional lability

Anxiety

Answer and Explanation

The Correct Answer is C

A.   Loss of appetite can be a symptom of PMDD, but it is not the primary manifestation.
B.   Insomnia can be a symptom of PMDD, but it is not the primary manifestation.
C.   Emotional lability, or rapid and intense mood swings, is a primary manifestation of PMDD.
D.   Anxiety can be a symptom of PMDD, but it is not the primary manifestation.

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Correct Answer is C

Explanation

A) Incorrect. This statement does not provide relevant information about the medication or potential risks.

B) Incorrect. This statement is not accurate and may cause unnecessary concern or confusion for the client.

C) Correct. Adolescents and young adults prescribed with antidepressant medications should be informed about the potential increased risk of suicidal thoughts or behaviors, especially in the early stages of treatment. This information is important for the client's safety and allows for appropriate monitoring.

D) Incorrect. Doubling the dose if a dose is missed is not a safe or appropriate practice. The client should be instructed on what to do if they miss a dose according to their healthcare provider's instructions.

A. Kidney function studies B. Red blood cell count C. Liver function studies D. White blood cell count

Correct Answer is D

Explanation

A. Kidney function studies While monitoring kidney function is important for clients on certain medications, it is not the primary laboratory test for monitoring clozapine. Clozapine is associated with agranulocytosis, which affects white blood cell count.

B. Red blood cell count Monitoring red blood cell count is not the primary concern when a client is prescribed clozapine. The main concern with clozapine is agranulocytosis, which affects white blood cells.

C. Liver function studies While liver function is important to monitor with some medications, it is not the primary laboratory test for monitoring clozapine. The primary concern with clozapine is agranulocytosis, which affects white blood cell count.

D. White blood cell count Clozapine is associated with agranulocytosis, a potentially life- threatening condition characterized by a severe decrease in white blood cells. Regular
monitoring of white blood cell count is crucial to detect and prevent this adverse effect. This test should be performed before starting clozapine and regularly throughout treatment. If the white blood cell count drops significantly, clozapine may need to be discontinued. This makes it the
most important laboratory study to monitor when a client is prescribed clozapine.

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The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A physician has prescribed an antidepressant medication for a 15yearold client. Which statement would be appropriate for inclusion in medication teaching?

Correct Answer is C

Explanation

A client with schizophrenia has begun a new prescription of clozapine. The nurse should assess the result of which laboratory study to monitor for adverse effects?

Correct Answer is D

Explanation

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