A client prescribed clozapine (Clozaril) for treatment of schizophrenia is complaining of drowsiness after the first 2 weeks of therapy. Which response by the nurse is the most appropriate for this situation?
1. "Take the medication exactly as prescribed, and do not discontinue it without the health care provider's approval."
2. "Tell the health care provider that you cannot tolerate the drowsiness caused by the medication."
3. "It may take 6–8 weeks for the drowsiness to subside."
4. "Try taking the medication at bedtime."
Correct Answer: 4
Rationale 1: This response does not address the client's drowsiness.
Rationale 2: This response does not help the client with the drowsiness now.
Rationale 3: Even though it might take several weeks for symptoms to subside, this is not the best answer.
Rationale 4: This is the best answer when the client has only taken the medication for 2 weeks. Taking the medication at bedtime should reduce drowsiness.
Global Rationale: Taking the medication at bedtime should reduce drowsiness. This is the best answer when the client has only taken the medication for 2 weeks. Taking the medication at bedtime should reduce drowsiness. Telling the client to take the medication as prescribed and not to discontinue it does not address the client's drowsiness. Having the client tell the healthcare provider about the drowsiness also does not help the client with the drowsiness. Even though it might take several weeks for symptoms to subside, this is not the best answer.
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