Practice Question
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Answer Choices:
Correct Answer:
A client who is taking clozapine and reports a sore throat.
Rationale:
🔴 The sore throat in a client taking clozapine is a priority because it may indicate agranulocytosis, a serious side effect of the medication.
🔴 Agranulocytosis puts the client at high risk for infection, making this finding urgent to address immediately.
🔴 Even though other symptoms like schizophrenia or bipolar disorder might require attention, the potential life-threatening nature of agranulocytosis demands immediate action.
🔴 The nurse should notify the provider immediately to assess the client's white blood cell count.
🔴 Prompt intervention can prevent severe complications such as infections that may worsen the client's condition.
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This question is from RN ATI Mental Health-2019 NGN II which contains 69 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4