Fairly easy

A patient taking clozapine reports a sore throat and fever. Which investigation should the nurse arrange promptly?

Correct answer: B. Complete blood count with neutrophil count

  • A. Serum amylase level
  • B. Complete blood count with neutrophil count
  • C. Serum calcium level
  • D. Urine ketone test

Explanation

Clozapine can cause severe neutropenia or agranulocytosis, so fever and sore throat require an urgent complete blood count with neutrophil count. Amylase, calcium, and urine ketones do not primarily monitor this serious clozapine reaction.

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Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.

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