Get ready for the NCLEX Exam! Practice with our comprehensive quizzes and multiple choice questions. Each question offers detailed explanations to help you understand the material and improve your test-taking skills. Boost your confidence today!

Multiple Choice

Before administering clozapine to a client with schizophrenia, which statement requires priority investigation?

The statement regarding having a sore throat for three days and feeling feverish today necessitates priority investigation due to the potential risk of agranulocytosis, a serious side effect associated with clozapine. Clozapine can cause a significant decrease in white blood cells, increasing the risk of infections. Symptoms like a sore throat and fever can indicate that the client may be experiencing an infection, which could be compounded by low white blood cell counts. Close monitoring of the client’s complete blood count (CBC) is crucial while they are on clozapine, especially during the first few months of treatment. Therefore, reporting these symptoms signals the need for immediate evaluation and possible blood tests to ensure the client's safety and prevent complications associated with significant immune suppression. This proactive approach is essential in nursing care to mitigate risks associated with antipsychotic medications.

The statement regarding having a sore throat for three days and feeling feverish today necessitates priority investigation due to the potential risk of agranulocytosis, a serious side effect associated with clozapine. Clozapine can cause a significant decrease in white blood cells, increasing the risk of infections. Symptoms like a sore throat and fever can indicate that the client may be experiencing an infection, which could be compounded by low white blood cell counts.

Close monitoring of the client’s complete blood count (CBC) is crucial while they are on clozapine, especially during the first few months of treatment. Therefore, reporting these symptoms signals the need for immediate evaluation and possible blood tests to ensure the client's safety and prevent complications associated with significant immune suppression. This proactive approach is essential in nursing care to mitigate risks associated with antipsychotic medications.