Which response by the client indicates that medication instruction by the RN has been effective?

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”.

“I will urinate less when taking Clozaril, and that is normal.”.

“I will use the Clozaril as needed for delusions and hallucinations.”.

“Clozaril is now available over-the-counter and in a generic form.”.

Answer and Explanation

The Correct Answer is A

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.” This indicates that the client understands that Clozaril (clozapine) is an antipsychotic medication that can affect the immune system and cause a serious blood disorder called agranulocytosis. The client needs to have regular blood tests to monitor the white blood cell count and prevent infections.

Choice B is wrong because Clozaril can cause urinary retention, not decreased urination. The client should be advised to report any difficulty or pain when urinating.

Choice C is wrong because Clozaril is not a PRN medication. It should be taken regularly as prescribed by the doctor to maintain a therapeutic level and prevent relapse of psychotic symptoms.

Choice D is wrong because Clozaril is not available over the counter or in a generic form. It is a controlled substance that requires a special program and a certified pharmacy to dispense it.

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Correct Answer is ["D"]

Explanation

Older adults do not have a different pain mechanism and do not feel it as much as younger individuals. This statement is false and indicates the need for further education regarding pain management in older adults.

Some possible explanations for the other choices are:

Choice A is true because older adults often fear becoming addicted to pain medications and may underreport or deny their pain.

Choice B is true because older adults often take numerous drugs that can cause interactions with pain medications and increase the risk of adverse effects.

Choice C is true because confusion and delirium can be a more common reaction to certain pain medications in the elderly, especially opioids and benzodiazepines.

Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which may be higher due to arterial stiffness. The normal range for blood pressure in older adults is 120/80 to 140/90 mm Hg.

A. High self-esteem. B. Antisocial personality traits. C. Good communication skills. D. Aggressive behaviors.

Correct Answer is B

Explanation

According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.

Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.

Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.

Choice C is wrong because good communication skills are not related to addictive

behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.

Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.

Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.

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Which response by the client indicates that medication instruction by the RN has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

Correct Answer is ["D"]

Explanation

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Correct Answer is B

Explanation

A client asks a nurse how long a heat application should be left in place. Which response should the nurse make?

Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

A nurse is out in public when an individual suddenly falls to the ground with a generalized tonic- clonic (grand mal) seizure. Which action should the nurse take first?

A client on digitalis has a lab report of potassium 3.0 mEq/L. The nurse would instruct the client to eat which of these foods?

A health care provider has ordered vital signs every 4 hours. The client’s 8:00 AM temperature was 99° F (37.2° C). At 10 AM, the client reported chills. A nurse takes the client’s temperature again. Which type of nursing action does this exemplify?

Which client behavior is indicative of hearing loss?

A male client weighing 175 pounds is to receive an intramuscular injection into his deltoid of two milliliters (2 mL) of a viscous fluid. Which needle size should a nurse use?

A nurse is assessing a client with pain. What is the best question for the nurse to ask the client about the quality of pain?