The teaching plan for a client taking clozapine should include ...

[Chelseaamend]

The teaching plan for a client taking clozapine should include which of the following instructions?
 
  a. Report sore throat and fever immediately.
  b. Avoid foods high in polyunsaturated fats.
  c. Practice unprotected sex.
  d. Use over-the-counter preparations for rashes.

Question 2

On a day that the unit is short staffed the nurse assigns an orienting nursing assistant to provide
  one-to-one supervision for a suicidal client.
 
  The nursing assistant takes the client to the hospital
  coffee shop, where the client runs out of the hospital into the path of a speeding automobile and
  sustains permanent brain injury. The hospital investigation reveals the nursing assistant had not
  received training relative to suicide precautions or one-to-one supervision. The statement that best
  explains the liability of the nurse in this situation is that the nurse
  a. is not liable because the nursing assistant provided the direct client supervision.
  b. is vicariously responsible for the nursing assistant's actions because she delegated
  the responsibility.
  c. is not accountable because she acted as an agent for the hospital.
  d. is not accountable because the hospital should have provided adequate staff.

[nickk12214]

Answer to Question 1

ANS: A
Clozapine therapy may produce agranulocytosis; therefore signs of infection should be immediately
reported to the physician. In addition, the client should have white blood cell levels measured
weekly. The other options are not relevant to clozapine administration.

Answer to Question 2

ANS: B
The nurse remains accountable for all tasks he or she delegates. The nurse should have determined
the nursing assistant's competence to carry our the delegated task before leaving it in the assistant's
hands. Option C: Although the hospital will also be called to account, the nurse is accountable for
delegated tasks. Option D: Short-staffing is only one factor in the situation. The nurse is ultimately
accountable for delegated tasks.