Question

A nurse is receiving change of shift report for for clients. Which of the following client should the nurse plan to see first

A client who has avoidant personality disorder and refuses to attend group therapyMY ANSWERA client who refuses to attend group therapy is nonurgent because this is an expected manifestation of avoidant personality disorder. Therefore, there is another client the nurse should see first.
A client who has bipolar disorder and reports being kidnapped by aliens overnightA client who reports being kidnapped by aliens is nonurgent because delusions are an expected manifestation of bipolar disorder. Therefore, there is another client the nurse should see first.
A client who is taking bupropion and reports having insomnia the past 2 nightsA client who reports having insomnia is nonurgent because it is an expected adverse effect of bupropion. Therefore, there is another client the nurse should see first.
A client who is taking clozapine and reports a sore throat and chillsWhen using the urgent vs. nonurgent approach to client care, the nurse should determine to first see the client who is taking clozapine and reports a sore throat and chills. Clozapine can cause agranulocytosis, a serious adverse effect that causes neutropenia. The nurse should withhold the medication and notify the provider of these findings.

Answer 1

A nurse should see the client taking clozapine who reports a sore throat and chills first, as these symptoms can indicate agranulocytosis, a serious adverse effect of the medication requiring immediate medical intervention.

Step-by-step explanation:

The subject of the question is concerned with prioritizing patient care in a medical setting, specifically for a nurse during a change of shift. It encompasses identifying which patient requires the most immediate attention, based on the urgency of their symptoms or the potential side effects of the medications they are taking.

The nurse should prioritize the client taking clozapine who reports a sore throat and chills. These symptoms could be indicative of agranulocytosis, a potentially life-threatening condition where there is a dangerously low count of white blood cells called neutrophils, making the patient highly susceptible to infections. Agranulocytosis is a known serious adverse effect associated with clozapine and requires immediate medical attention to prevent complications. The nurse should assess the patient immediately, withhold the medication, and promptly notify the healthcare provider for further evaluation and intervention.