A patient with schizophrenia shows suicidal behaviors, and the provider orders clozapine (Clozaril). The nurse teaches the family about the medication and its side effects
Which statement by a family member indicates a need for further teaching about this drug?
a. "Blood counts are necessary for several weeks after discontinuation of the drug."
b. "Fever, sore throat, and sores in the mouth should be reported immediately."
c. "If the ANC is less than 3000, the drug will be discontinued permanently."
d. "Use of this drug requires weekly evaluation of blood work."
ANS: C
Clozapine can cause agranulocytosis. If the absolute neutrophil count (ANC) drops below 1000/mcL, the drug must be discontinued permanently. Blood counts must be evaluated weekly, and this evaluation should be continued for several weeks after withdrawal of the drug. Fever, sore throat, and mouth ulcers are symptoms of agranulocytosis and should be reported immediately.
You might also like to view...
A person receiving home care needs a way to call for help. Which is correct?
a. A dinner bell or baby monitor can be used. b. Tell the person to shout loudly if he needs anything. c. Ask the person to hit the wall if he needs anything. d. Have the person raise his hand if he needs something.
A person has AD. The person's daughter has three children in high school and college. The daughter is likely to find herself in:
a. Generation X b. The "Baby Boom" generation c. Generation Y d. The sandwich generation
An increase in heart rate primarily begins with stimulation of which part of the conduction system?
A. Atrioventricular bundle B. Atrioventricular (AV) node C. Sinoatrial (SA) node D. Purkinje fibers
A 19-year-old patient reports flank pain and scanty urination. The nurse notices periorbital edema, and the urinalysis reveals white blood cells, red blood cells, albumin, and casts
What question would be most important for the nurse to include in data collection? a. "Have you had any gastrointestinal problems lately?" b. "Have you had a strep infection of the throat or skin recently?" c. "Are you sexually active?" d. "Is your vision blurred?"