The nurse caring for a client taking clozapine is monitoring the client's blood work. The nurse should prioritize assessment of the client's:
A) Cardiac enzymes
B) Blood urea nitrogen and creatinine
C) White blood cell count
D) Liver function tests
Ans: C
Feedback:
Use of clozapine requires weekly monitoring of white blood cell (WBC) counts to assess for agranulocytosis. Clozapine suppresses the development of WBCs in 1% to 2% of all clients who take it. If WBC levels decrease significantly from baseline, immediate discontinuation of clozapine is recommended. Clients never should use clozapine with other agents that suppress WBC production, such as carbamazepine.
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