What is the priority finding to report to the provider for a client who has schizophrenia and is taking clozapine?

Sore throat

Heart rate 104/min

Nausea

Random blood glucose 130 mg/dL

Answer and Explanation

The Correct Answer is A

This finding could indicate agranulocytosis, a potentially life threatening adverse effect of clozapine that causes a severe decrease in white blood cells and increases the risk of infection. The other findings are also important to monitor, but they are not as critical as sore throat.

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Correct Answer is D

Explanation

Referring the client to a self-help group, such as Alcoholics Anonymous (AA), is an effective strategy to promote sobriety and prevent relapse after discharge. Self-help groups provide peer support, education, and coping skills for clients who have alcohol use disorder. Systematic desensitization is a behavioral therapy technique that is used to treat phobias, not alcohol use disorder. Contacting a close relative of the client may be helpful, but it is not a recommendation that the nurse can make without the client's consent and involvement. Buprenorphine is a medication that is used to treat opioid use disorder, not alcohol use disorder.

A. Encourage the client to describe their feelings in a journal. B. Administer a dose of atomoxetine to the client. C. Encourage the client to watch television as a distraction. D. Administer a dose of alprazolam to the client.

Correct Answer is D

Explanation

Alprazolam is a benzodiazepine that can provide rapid relief of anxiety symptoms during a panic attack. Atomoxetine is a selective norepinephrine reuptake inhibitor that is used to treat attention-deficit/hyperactivity disorder, not anxiety disorders. Journaling and watching television are not appropriate interventions during an acute panic attack, as they do not address the client's physiological and psychological needs.

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What is the priority finding to report to the provider for a client who has schizophrenia and is taking clozapine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack?

Correct Answer is D

Explanation

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