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
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.
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