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?

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Question 1 of 5

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?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A patient with bipolar disorder has taken lamotrigine (Lamictal) for 3 months with an excellent response. Which complaint from the patient necessitates the nurse’s priority attention?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A patient’s blood pressure is 130/84. The health care provider plans to suggest nonpharmacologic methods to lower blood pressure. Which should the nurse include in teaching? (Select ALL that apply.)

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient has acute anxiety related to an automobile accident 2 hours ago. The patient needs teaching about drugs from which group?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

In order to effectively provide appropriate patient teaching regarding the effects of psychotropic medications, an advanced practice nurse with prescriptive privileges is required to have a thorough understanding of which drug-related topic?

Correct Answer: A

Rationale: In 2003 the National Organization of Nurse Practitioner Faculties (NONPF) published a comprehensive set of competencies defining the scope and practice of psychiatric mental health nurse practitioners (PMHNPs). An example of a competency specific to medication prescribing for PMHNPs states that the PMHNP “prescribes psychotropic and related medications based on clinical indicators of a patient’s status, including results of diagnostic and lab tests as appropriate, to treat symptoms of psychiatric disorders and improve functional health status.” Knowledge of pharmacology algorithms or of monotherapeutic symptoms is not applicable since they are not required needs. A knowledge of the doses of all “atypical” psychotropic drugs is too specific to one class of psychotropic medications. Nurses need to know information about all psychotropic medications.

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