For any patient receiving clozapine (Clozaril), which laboratory ...

[Engineer]

For any patient receiving clozapine (Clozaril), which laboratory result should be reported to the physician?
 
  1. Red blood cell (RBC) of 3.8 million cells/mL
  2. Red blood cell (RBC) of 5.0 million cells/mL
  3. White blood cell (WBC) of 3,800 cells/mcl
  4. White blood cell (WBC) of 12,000 cells/mcl

Question 2

The patient is receiving clozapine (Clozaril). What is a priority outcome for this patient?
 
  1. The patient reports any narrowing of the field of vision.
  2. The patient reports any joint pain or swelling.
  3. The patient reports any signs of a sore throat or an infection.
  4. The patient reports any yellowish halos around lights.

[coreycathey]

Answer to Question 1

Correct Answer: 3
Rationale: The normal white blood cell (WBC) count is 4,50010,500 cells/mcl. A lower count indicates agranulocytosis, which is a life-threatening side effect of clozapine (Clozaril). A red blood cell (RBC) of 5.0 million cells/mL is a normal red blood cell (RBC) count. A white blood cell (WBC) of 12,000 cells/mcl is an elevated white blood cell (WBC) count and could indicate an infection, but it is not a side effect of clozapine (Clozaril). A red blood cell (RBC) of 3.8 million cells/mL is a low range of red blood cells (RBCs) and could indicate anemia, but it is not a side effect of clozapine (Clozaril).

Answer to Question 2

Correct Answer: 3
Rationale: Signs of a sore throat or an infection could indicate agranulocytosis, which is a life-threatening side effect of clozapine (Clozaril). Yellowish halos around lights are not a side effect of clozapine (Clozaril). Joint pain or swelling is not a side effect of clozapine (Clozaril). Narrowing of the field of vision is not a side effect of clozapine (Clozaril).

[Engineer]

Excellent

[sailorcrescent]

Gracias!