Identify the action by the nurse that is most appropriate when caring for a client hospitalized with chronic schizophrenia who has been taking clozapine (Clozaril) for the past 2 weeks.
A)Limit the client's fluid intake to 500 mL per day.
B)Check the client's white blood cell count and differential every week.
C)Obtain a serum cholesterol every month.
D)Make sure the client spends at least 30 minutes outside in the sun each day.

Question

Quizplus · Accepted Answer

Checking the client's white blood cell count and differential every week is the most appropriate action for a client taking clozapine, as this medication carries a risk for agranulocytosis. Close monitoring of the client's blood counts is necessary to detect any potential hematologic adverse effects early on. Limiting fluid intake, obtaining serum cholesterol, and sun exposure are not specific to clients taking clozapine and are not appropriate actions in this scenario.

Identify the Action by the Nurse That Is Most Appropriate