A nurse reviews laboratory reports for a patient who has taken clozapine (Clozaril) for 1 year. Which value would prompt the nurse to notify the health care provider of the need to suspend treatment? The total WBC count and granulocyte count are
a. 2900 cells/mm3 and 1450 cells/mm3.
b. 3500 cells/mm3 and 1850 cells/mm3.
c. 4000 cells/mm3 and 2000 cells/mm3.
d. 4500 cells/mm3 and 2500 cells/mm3.
A
These values indicate that leukopenia is present. Agranulocytosis is a sometimes fatal side effect of clozapine. The other values are above baseline.
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