ATI RN
ATI RN Mental health 2019 NGN II 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 finding is a priority to report because clozapine can cause agranulocytosis, which is a severe reduction in white blood cells, leading to increased risk of infection. A sore throat could indicate an infection, which can progress rapidly in a client with lowered immunity. Reporting this promptly allows for timely intervention to prevent serious complications.
Other choices are less urgent:
A: Random blood glucose of 130 mg/dL is slightly elevated but not a priority over infection risk.
B: Nausea is a common side effect of clozapine and can be managed symptomatically.
C: Heart rate of 104/min may be due to various factors and does not require immediate intervention.
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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