The client with schizophrenia has been started on medication therapy with clozapine (Clozaril). The nurse reviews the results of laboratory studies for this client to detect which of the following adverse effects of this medication?
1. Platelet count
2. Blood glucose level
3. Liver function
4. White blood cell (WBC) count
4
Rationale: Clozapine (Clozaril) is an antipsychotic medication. The client taking clozapine may experience agranulocytosis, which is monitored by obtaining weekly WBC counts. Treatment is withheld if the level drops below 3000 cells/mm3. Agranulocytosis could be fatal if undetected and untreated. The other options are incorrect.
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The nurse is caring for a client who has been diagnosed with a terminal illness. The physician has explained the proposed therapy to the client, who declines to sign the informed consent
The nurse's best response to the client's refusal of therapy is which of the following? 1. "I think you should sign the consent form." 2. "You have the right to decline treatment. Would you like to discuss your decision?" 3. "Remember that you have children and grandchildren who love you." 4. "I think I had better tell your wife about this."
The nurse administers an androgen and assesses the patient for what action caused by this drug?
A) Decreased production of red blood cells B) Decreased protein anabolism C) Increased protein catabolism D) Increased retention of nitrogen
The nurse is caring for a client with recurrent ear infections. The nurse assesses the client for further infectious processes traveling deeper into the tissue and becoming more lethal. Which infection, originated in the ear, is of most concern?
A) Mastoiditis B) Meningitis C) Sinusitis D) Labyrinthitis
The nurse is providing care to a patient with terminal cancer. The patient prefers to be alone and asks, "What's the use of living?" Based on this data, which coping mechanism is the patient exhibiting?
1) Denial 2) Anger 3) Depression 4) Acceptance