The nurse must notify the physician of the need to suspend treatment for a client receiving clozapine (Clozaril) when the weekly WBC monitoring shows:
1. WBCs below 2000/mm3 and absolute neutrophils below 1000/mm3
2. WBCs below 2500/mm3 and absolute neutrophils below 1500/mm3
3. WBCs below 3000/mm3 and absolute neutrophils below 2000/mm3
4. WBCs below 3500/mm3 and absolute neutrophils below 2500/mm3
ANS: 1
Counts at this level indicate the presence of leukopenia. Agranulocytosis is a possible side effect of Clozaril therapy for which the client is closely monitored. The other levels are high enough to be considered safe.
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