Which information should the nurse include in the teaching plan for a patient receiving clozapine (Clozaril)?
a. "Abstain from using tobacco products."
b. "Increase your daily carbohydrate intake."
c. "Notify your health care provider if you start drooling."
d. "You will need monthly electrocardiographic tracings done."
A
Use of tobacco products speeds metabolism of clozapine in the liver, reducing the clozapine level and diminishing its effectiveness in reducing symptoms. Increasing carbohydrate intake is contraindicated because of the possibility of developing metabolic syndrome. Drooling is a common side effect. Monthly electrocardiographic tracings are unnecessary, but annual or semiannual tracings might be suggested, because arrhythmia development is possible.
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