The nurse must notify the physician of the need to suspend treatment for a patient re-ceiving clozapine (Clozaril) when the weekly WBC monitoring shows:

a. WBCs below 2000/mm3 and absolute neutrophils below 1000/mm3
b. WBCs below 2500/mm3 and absolute neutrophils below 1500/mm3
c. WBCs below 3000/mm3 and absolute neutrophils below 2000/mm3
d. WBCs below 3500/mm3 and absolute neutrophils below 2500/mm3


ANS: A
Counts at this level indicate the presence of leukopenia. Agranulocytosis is a possible side effect of Clozaril therapy for which the patient is closely monitored. The other levels are high enough to be considered safe.

Nursing

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