The nurse should monitor which vital signs in the client who is taking Clozaril (Clozapine).
Blood Pressure
Respirations
Pain
Temperature
The Correct Answer is D
Choice A rationale: Clozapine has no effect on a patient’s blood pressure levels. However, blood pressure monitoring for all patients is crucial but the temperature is more relevant for a patient on clozapine.
Choice B rationale: Clozapine has no effect on an individual’s respiratory rate hence in this case it is not the priority vital sign to monitor.
Choice C rationale: Clozapine use does not cause pain. Furthermore, pain is not a vital sign.
Choice D rationale: One of the side effects of clozapine is agranulocytosis hence this predisposes the patient to infections which may manifest with fever. Therefore, it is important to monitor the patient’s temperature while on treatment.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale: lithium does not affect the levels of red blood cells hence no monitoring is required during its intake.
Choice B rationale: lithium is excreted in the kidneys hence close kidney function monitoring is essential since it prevents lithium toxicity.
Choice C rationale: lithium does not affect the levels of hemoglobin and hematocrit levels hence no frequent monitoring is required during its intake.
Choice D rationale: lithium does not affect the levels of white blood cells hence no monitoring is required during its intake.
Correct Answer is B
Explanation
Choice A rationale: Akathisia refers to restlessness and agitation and is a common side effect of antipsychotic medications. This condition can be reversed by reducing the dose of antipsychotic medication taken by the client.
Choice B rationale: Tardive dyskinesia refers to the involuntary movement of body parts such as the limbs, face, jaw, and tongue and is a common side effect of long-term use of first-generation antipsychotic medications which work by blocking dopamine receptors. This condition is irreversible, especially when not detected early.
Choice C rationale: Dystonia which refers to muscle spasms affecting the jaw, eyes, and limbs can be reversed by the use of anticholinergic medications or botulin toxin.
Choice D: Akinesia refers to the absence of movement and can be managed by adjusting the dosage of the antipsychotic medications being taken by the patient.
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