A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine (Clozaril). Which client symptoms, related to the side effects of this medication, should prompt a nurse to intervene immediately?
1. Sore throat, fever, and malaise
2. Akathisia and hypersalivation
3. Akinesia and insomnia
4. Dry mouth and urinary retention
1
Rationale: The nurse should intervene immediately if the client experiences signs of an infectious process, such as a sore throat, fever, and malaise, when taking the atypical antipsychotic drug clozapine. Clozapine can have a serious side effect of agranulocytosis, in which a potentially fatal drop in white blood cells can occur, leading to infection.
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The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should:
a. Ask the patient to urinate into a sterile cup. b. Ask the patient to obtain a specimen of semen. c. Insert a cotton-tipped applicator into the urethra. d. Compress the glans between the examiner's thumb and forefinger, and collect any discharge.
Your patient is in hypovolemic shock. You know that antidiuretic hormone (ADH) plays a role during hypovolemic shock. What assessment finding will you likely observe related to the role of the antidiuretic hormone (ADH) during hypovolemic shock?
A) Increased hunger B) Decreased thirst C) Decreased urinary output D) Increased capillary perfusion
Restorative nursing care does which of the following?
a. Focuses on the whole person. b. Provides all ADLs for the person. c. Prevents any further illness. d. Helps the person maintain a minimum level of function.
The nurse is discussing the adverse effects of Phototherapy with ultraviolet-A (PUVA) therapy with a client experiencing psoriasis. Which symptoms should the nurse include in the discussion?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Nausea B. Depression C. Weight loss D. Headache E. Skin sensitivity