A patient taking clozapine develops fever, sore throat and mouth ulcers. Which finding should the nurse report urgently?
Correct answer: A. Possible neutropenia requiring an urgent blood count
- A. Possible neutropenia requiring an urgent blood count
- B. Mild increased appetite requiring a dietary record
- C. Temporary dry mouth requiring frequent oral fluids
- D. Occasional drowsiness requiring a later bedtime
Explanation
Clozapine can cause severe neutropenia or agranulocytosis, and fever with sore throat or mouth ulcers may indicate infection. The medicine and blood count require urgent clinical review. Increased appetite, dry mouth and drowsiness are common but are not the immediate danger in this presentation.
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About Analgesics and CNS Drugs
This area covers opioid and non-opioid analgesics, local anaesthetics, sedatives, anxiolytics, antidepressants, antipsychotics, antiepileptics and drugs for Parkinsonism. It examines therapeutic actions, dependence, respiratory depression, extrapyramidal effects, serotonin related toxicity and the distinction between pain relief, sedation and loss of consciousness.
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