ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. This is the priority finding to report because it could indicate a potential serious side effect of clozapine called agranulocytosis, which is characterized by a low white blood cell count and can lead to severe infections. Agranulocytosis is a life-threatening condition that requires immediate medical attention. Reporting this finding promptly allows for early intervention to prevent complications.
Other choices are less urgent: A: Random blood glucose 130 mg/dL is slightly elevated but not immediately concerning. B: Heart rate 104/min may be within normal range depending on the individual. C: Nausea is a common side effect of clozapine but not as critical as a sore throat.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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