A client whose schizophrenia has been refractory to treatment with other medications has been placed on clozapine (Clozaril). The priority discharge teaching should include:
1. Keep salt intake the same from day to day
2. Maintain a tyramine-free daily diet
3. Report for weekly blood tests for CBC level
4. Use sun-blocking agents when out of doors
ANS: 3
Clozaril has the potential to cause agranulocytosis; hence, the need for weekly blood draws for CBCs for the first 6 months of therapy and every other week after that point. The other options are not relevant to Clozaril therapy. Option 1 refers to lithium therapy, option 2 to MAOI thera-py, and option 4 to phenothiazine therapy.
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