The laboratory reports for a client who is taking clozapine show a white blood cell count of 3000
mm3 and a granulocyte count of 1500 mm3 . The nurse should
a. give the next dose as ordered.
b. report the laboratory results to the physician.
c. repeat the laboratory tests.
d. give aspirin and force fluids.
ANS: B
These laboratory values indicate the possibility of agranulocytosis, a serious side effect of clozapine
therapy. These results must be immediately reported to the physician. Option A: The drug should be
withheld because the physician will discontinue it. Option C: The physician may repeat the test, but
in the meantime the drug should be withheld. Option D: These measures are less important than
stopping administration of the drug.
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