The white blood cell count of the client on clozapine (Clozaril) is 2.8. What action should the nurse take?
1. Hold the medication and call the psychiatrist.
2. Administer the medication and monitor the next count.
3. Monitor the client for orthostatic hypotension.
4. Check to see if the thyroid levels are normal.
1
Rationale: Agranulocytosis, a marked decrease in white blood cell counts, is a serious side effect of this medication. It should be held and stopped by the prescriber before the client gets a serious infection. Thyroid levels are not related to agranulocytosis and neither is orthostatic hypotension.
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Hospital management has identified quality of care issues that center around coordination of multidisciplinary services. Which classification of advanced practice nurse would be the best choice to help address these issues?
1. Clinical nurse leader 2. Advanced nurse practitioner 3. Nurse with a doctorate of nursing practice 4. Clinical nurse specialist
The nurse teaches the client with intermittent claudication that the pain results from
a. lactic and pyruvic acid buildup. b. muscle cramps. c. rapid vasodilation in the legs. d. venous stasis.
A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds integrating understanding that this most likely is due to which of the following?
A) Placing the newborn prone after feeding B) Limited ability of digestive enzymes C) Underdeveloped pyloric sphincter D) Relaxed cardiac sphincter
The nurse collects data from an older client and monitors him for signs of abuse. Which psychosocial factor does the nurse recognize as placing the client at risk for abuse?
A. The client lives alone. B. The client is independent. C. The client shows signs and symptoms of depression. D. The client is completely dependent on family members for food and medicine.