The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?
White blood cell count
Potassium level
BUN/Creatinine
Sodium level
The Correct Answer is A
A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Constipation, not diarrhea, is a more common side effect of colesevelam.
B. Although colesevelam may interfere with the absorption of fat-soluble vitamins, this is not the priority teaching point.
C. Colesevelam should be taken as prescribed, not repeatedly within short intervals.
D. Colesevelam can interfere with the absorption of other medications; therefore, it should be taken at least 4 hours after other medications to avoid interactions.
Correct Answer is D
Explanation
A. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.
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