A patient is prescribed clozapine (Clozaril). The patient and family should be instructed on the adverse effects of this medication. What laboratory test is most important in the first months of the medication regime?
A) Weekly liver enzymes
B) Daily INR
C) Monthly creatinine levels
D) Regular complete blood counts
D
Feedback:
Clozapine (Clozaril) is associated with life-threatening decrease in white blood cells (agranulocytosis). It is essential to monitor the complete blood count due to this risk. Weekly liver enzymes are not recommended when administering clozapine. Monthly creatinine levels and INR monitoring are not recommended with clozapine therapy.
You might also like to view...
Which of the following normally occurs during the proliferative phase of the menstrual cycle?
a. The cervical mucus thickens. b. The endometrium degenerates and sheds. c. Estrogen causes the endometrium to regenerate. d. Menstrual flow consisting of blood and mucus occurs.
A client comes to the Emergency Department with injuries to her upper shoulders and back area. When questioned about how the injuries occurred, the client becomes less talkative, and states that she "fell
" The client has a history of frequent ED visits, always with plausible excuses about how her injuries occurred. The nurse begins to suspect that this client is a victim of abuse. This is an example of which of the following? A) Validation B) Judgment C) Inference D) Observation of cues
Which of the following assessment data best confirms the possibility of cognitive impairment in a client with a diagnosis of lung cancer?
1. Client is observed writing questions to ask his oncologist. 2. Client states, "I seem to be a little more forgetful lately." 3. Client's wife states, "I have to remind him of everything." 4. Client overheard asking son, "Where did I put my glasses?"
You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. Which additional diagnostic test would be required for her?
a. Cervical spine radiography
b. Visual acuity
c. Mini-Mental State Examination
d. Nerve conduction studies