{"id":137567,"date":"2024-09-13T08:06:44","date_gmt":"2024-09-13T08:06:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137567"},"modified":"2024-09-13T08:06:47","modified_gmt":"2024-09-13T08:06:47","slug":"a-client-diagnosed-with-schizophrenia-is-prescribed-clozapine-clozaril","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/13\/a-client-diagnosed-with-schizophrenia-is-prescribed-clozapine-clozaril\/","title":{"rendered":"A client diagnosed with schizophrenia is prescribed clozapine (Clozaril)"},"content":{"rendered":"\n<p>A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately?<\/p>\n\n\n\n<p>A.<br>Dry mouth and urinary retention<\/p>\n\n\n\n<p>B.<br>Akinesia and insomnia<\/p>\n\n\n\n<p>C.<br>Sore throat, fever, and malaise<\/p>\n\n\n\n<p>D.<br>Akathisia and hypersalivation<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>C. Sore throat, fever, and malaise<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Clozapine (Clozaril) is an atypical antipsychotic used primarily for treatment-resistant schizophrenia. While it can be effective in reducing symptoms of schizophrenia, it also carries significant risks that require careful monitoring.<\/p>\n\n\n\n<p>One of the most serious side effects of clozapine is <strong>agranulocytosis<\/strong>, a condition where the body\u2019s white blood cell (WBC) count drops significantly, leading to a weakened immune system. This puts the client at high risk for infections. <strong>Sore throat, fever, and malaise<\/strong> are potential signs of agranulocytosis and should prompt immediate intervention. If agranulocytosis is suspected, the nurse must notify the healthcare provider and arrange for urgent blood tests to assess the client&#8217;s WBC count. Agranulocytosis can be life-threatening if not treated promptly.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Other side effects:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Dry mouth and urinary retention<\/strong>: These are common anticholinergic side effects that can occur with many antipsychotic medications, including clozapine. While uncomfortable, they are not immediately life-threatening and can be managed with interventions such as increasing fluid intake, chewing gum, or using medications to alleviate symptoms.<\/li>\n\n\n\n<li><strong>B. Akinesia and insomnia<\/strong>: Akinesia refers to the inability to initiate movement and is a potential extrapyramidal side effect of antipsychotic medications, while insomnia is a less common side effect. Although these can affect a client\u2019s quality of life, they do not warrant immediate intervention like agranulocytosis.<\/li>\n\n\n\n<li><strong>D. Akathisia and hypersalivation<\/strong>: Akathisia is a sense of restlessness, and hypersalivation (excessive saliva) is a side effect particularly associated with clozapine. These symptoms, though distressing, are not as urgent as signs of infection and agranulocytosis.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the most concerning and potentially life-threatening side effects of clozapine include signs of agranulocytosis, such as sore throat, fever, and malaise, which require immediate nursing intervention.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately? A.Dry mouth and urinary retention B.Akinesia and insomnia C.Sore throat, fever, and malaise D.Akathisia and hypersalivation The correct answer and Explanation is : The correct answer is C. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137567","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137567","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137567"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137567\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137567"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137567"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}