Care Manager Certification Practice Exam

When planning care for a client who is receiving olanzapine, what should the nurse monitor for?

1. Signs of hypertension.

2. Changes in weight.

3. Improvement in mood.

4. Blood glucose levels.

The correct answer is: Signs of hypertension.

When a client is receiving olanzapine, the most relevant aspect for the nurse to monitor is changes in weight. Olanzapine, an atypical antipsychotic, is known to potentially cause significant weight gain due to its effects on metabolic processes. This medication can increase appetite and alter metabolism, making individuals more prone to weight gain, which can have further implications for the client’s overall health, including cardiovascular health and diabetes risk. Monitoring weight is essential, as significant fluctuations can indicate a need for intervention regarding diet or medication adjustments to mitigate potential health risks. While it’s true that blood glucose levels, mood improvements, and hypertension can also be considerations in clients receiving olanzapine, the most direct and immediate concern related to this medication is usually its impact on weight. Recognizing and managing these changes can help prevent long-term complications associated with its use.