Author Question: Clozapine (Clozaril) is prescribed for a patient with a schizophreniform disorder. Which information ... (Read 18 times)

Mollykgkg · **on:** Jul 23, 2018

Clozapine (Clozaril) is prescribed for a patient with a schizophreniform disorder. Which information would be the most important to include in the teaching plan for this patient?

a. Strategies to manage breast enlargement and nipple discharge
b. The importance of promptly reporting flulike symptoms
c. Contraceptive measures and expected changes in menstruation
d. Proper technique for measuring blood pressure

Question 2

The nurse is providing patient education to a patient who has just been given a new prescription for sublingual nitroglycerin tablets. Which statement by the patient would indicate a need for ad-ditional teaching? I should

a. take the nitro every 2 to 3 minutes until my pain goes away.
b. take one tablet every 5 minutes, up to a total of three tablets if needed.
c. store my nitroglycerin in its original dark bottle to protect it from light.
d. keep the bottle of nitro tightly closed to protect the tablets.

Anonymous · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Patients taking clozapine should be informed about the risk of agranulocytosis and must have a weekly blood test. They should be instructed to inform their primary health care provider imme-diately about any early signs of infection (e.g., fever, sore throat, fatigue, mucous membrane ul-ceration).
Breast enlargement and nipple discharge are not adverse effects of clozapine.
Changes in menstruation are important to include in patient education, but this is not the most important information.
Changes in blood pressure are not adverse effects of clozapine.

Answer to Question 2

A
This dosing schedule is incorrect. The correct method of taking SL nitroglycerin is prn, with a dose at onset, a second dose in 5 minutes, and then a third dose within 5 minutes after that, if indicated and the blood pressure (BP) is stable. This statement indicates that further teaching is required.
This is the correct dosing schedule for SL nitroglycerin.
The bottle should be kept in a cool place out of direct sunlight, and the lid should be kept tightly closed to prevent disintegration of the tablets.