The client receives clozapine (Clozaril). Which clinical finding is most important for the nurse to report immediately?
1. Increased appetite
2. Sore throat
3. Drowsiness
4. Constipation
2
Rationale 1: Increased appetite is a common side effect of clozapine and does not require immediate reporting.
Rationale 2: A sore throat is a symptom of depressed immune function that is associated with agranulocytosis. This must be reported immediately.
Rationale 3: Drowsiness is a common side effect of clozapine and does not require immediate reporting.
Rationale 4: Constipation is a common side effect of clozapine and does not require immediate reporting.
Global Rationale: A sore throat is a symptom of depressed immune function that is associated with agranulocytosis. This must be reported immediately. Increased appetite, drowsiness, and constipation arenot common side effects of clozapine, and do not require immediate reporting.
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A 75-year-old female asks a nurse "I know I should be moving, but how much is the right amount of exercise for me?" The best response of the nurse is:
a. "You need to engage in 30 minutes of moderate intensity exercise on at least 5 days a week." b. "You need to engage in at least 30 minutes of moderate intensity exercise every day of the week." c. "Since you are 75, the recommendations are 30 minutes of moderate exercise three times a week." d. "There are no specific recommendations for someone of your age; just keep mov-ing."
What prevents blood from flowing back into the ventricles from the pulmonary artery and aorta during repolarization?
a. tricuspid and mitral valves c. pulmonic and aortic valves b. papillary muscles d. chordae tendinae
A nurse is caring for an older adult client who lives alone. Which economic situation presents the most serious problem for this client?
A. Stock market fluctuations B. Increased provider benefits C. Social Security as the basis of income D. Costs associated with setting up a living will
Which of the following statistics about depression is not true?
1. Approximately 25% of all women will suffer at least one episode of depression during their lifetime. 2. Almost one third of clinically depressed individuals have some form of substance abuse or dependence. 3. Most people with depression will usually seek treatment from health care providers. 4. People with major depression account for more hospital inpatient days than any disorder except cardiovascular diseases. 5. The highest rates of depression are found among those 25 to 44 years of age.