A patient who has been taking clozapine reports fever, sore throat and marked weakness. Which nursing action is most appropriate?
Correct answer: A. Arrange urgent blood testing and notify the prescriber
- A. Arrange urgent blood testing and notify the prescriber
- B. Advise the patient to take the next dose with food
- C. Reassure the patient that these effects are expected
- D. Encourage strenuous exercise to improve energy
Explanation
Fever and sore throat during clozapine treatment may indicate neutropenia or agranulocytosis, which can lead to serious infection. Urgent assessment includes a complete blood count, and the prescriber must be informed rather than reassuring the patient or continuing routine treatment without review.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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