The client receives clozapine (Clozaril). Which clinical finding is most important for the nurse to report immediately?
1. Increased appetite
2. Sore throat
3. Drowsiness
4. Constipation
Correct Answer: 2
Rationale 1: Increased appetite is a common side effect of clozapine and does not require immediate reporting.
Rationale 2: A sore throat is a symptom of depressed immune function that is associated with agranulocytosis. This must be reported immediately.
Rationale 3: Drowsiness is a common side effect of clozapine and does not require immediate reporting.
Rationale 4: Constipation is a common side effect of clozapine and does not require immediate reporting.
Global Rationale: A sore throat is a symptom of depressed immune function that is associated with agranulocytosis. This must be reported immediately. Increased appetite is a common side effect of clozapine, and does not require immediate reporting. Drowsiness is a common side effect of clozapine, and does not require immediate reporting. Constipation is a common side effect of clozapine, and does not require immediate reporting.
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