A client with a history of suicidal behavior and schizophrenia stopped taking clozapine (Clozaril) after four weeks of therapy
The client is currently experiencing a return of hallucinations. What might the nurse assess when determining the reason the client stopped taking the medication?
Standard Text: Select all that apply.
1. Feeling sedated all the time
2. Significant weight gain
3. Agitation
4. Fatigue and headache
5. Lack of desire to consume alcohol
Correct Answer: 1,2,3,4
Rationale 1: Clients do not like the side effect of being sedated all the time.
Rationale 2: Substantial weight gain has been reported in some clients taking this medication. This is a reason some stop taking the medication.
Rationale 3: Agitation may be an extrapyramidal symptom of treatment with this medication and is an unwanted adverse effect.
Rationale 4: Fatigue and headache are possible side effects of this medication.
Rationale 5: The desire to drink alcohol would be a reason for the client to stop taking this medication.
Global Rationale: Clients do not like the side effect of being sedated all the time. Substantial weight gain has been reported in some clients taking this medication. This is a reason some stop taking the medication. Agitation may be an extrapyramidal symptom of treatment with this medication and is an unwanted adverse effect. Fatigue and headache are possible side effects of this medication. The desire to drink alcohol would be a reason for the client to stop taking this medication.
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