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. The mother who expresses hostility toward her spouse B. The father who intervenes whenever the siblings argue C. The adolescent son who refuses to share personal feelings D. The adolescent daughter who attempts to dominate the discussion

Correct Answer is D

Explanation

A monopolizer is a family member who tries to control communication and prevent others from expressing their thoughts or feelings. The adolescent daughter who attempts to dominate the discussion is acting in this role and may hinder effective family counselling.

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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 is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

A nurse is caring for a client who has a personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect?

A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase?

A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?

A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?