Author Question: A nurse cares for four patients diagnosed with schizophrenia who are receiving antipsychotic ... (Read 51 times)

rayancarla1 · **on:** Jul 19, 2018

A nurse cares for four patients diagnosed with schizophrenia who are receiving antipsychotic medication. Which patient will receive the nurse's priority attention? The patient

a. with diaphoresis and a temperature of 104 F
b. who reports feelings of neck and shoulder stiffness
c. who reports auditory hallucinations of church bells clanging loudly
d. who chants, I am the messiah, delivered to earth from the heavens above

Question 2

A nurse reviews laboratory reports for a patient who has taken clozapine (Clozaril) for 1 year. Which value would prompt the nurse to notify the health care provider of the need to suspend treatment? The total WBC count and granulocyte count are

a. 2900 cells/mm3 and 1450 cells/mm3.
b. 3500 cells/mm3 and 1850 cells/mm3.
c. 4000 cells/mm3 and 2000 cells/mm3.
d. 4500 cells/mm3 and 2500 cells/mm3.

rachel · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
These findings indicate NMS, a serious adverse reaction to antipsychotic medication. The other findings may be significant, but are a lesser priority.

Answer to Question 2

A
These values indicate that leukopenia is present. Agranulocytosis is a sometimes fatal side effect of clozapine. The other values are above baseline.