A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9\u00b0 F (38.8\u00b0 C). Which action should the nurse take?<\/p>\n\n\n\n
A.
Encourage Increase Intake of oral fluids.<\/p>\n\n\n\n
B.
Obtain a specimen for a complete blood count.<\/p>\n\n\n\n
C.
Complete an Abnormal Involuntary Movement Scale (AIMS).<\/p>\n\n\n\n
D.
Administer a PRN dose of acetaminophen.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is B. Obtain a specimen for a complete blood count<\/strong>.<\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Clozapine is an atypical antipsychotic used to treat schizophrenia, particularly in patients who have not responded to other treatments. A serious side effect of clozapine is agranulocytosis, a condition where the white blood cell count drops significantly, leading to a higher risk of infections. Symptoms of agranulocytosis can include fever, sore throat, and malaise.<\/p>\n\n\n\n When a client on clozapine presents with symptoms like a sore throat and a fever of 101.9\u00b0 F (38.8\u00b0 C), it is crucial to assess for possible agranulocytosis. The appropriate action is to obtain a specimen for a complete blood count (CBC) to check the white blood cell count and specifically the absolute neutrophil count (ANC). A drop in these counts can confirm agranulocytosis, which requires immediate medical intervention.<\/p>\n\n\n\n While increasing oral fluid intake (A) is generally beneficial for overall health and can support recovery from infections, it does not address the underlying issue that clozapine might be causing. Administering acetaminophen (D) may help manage the fever and discomfort but does not resolve the potential serious issue of agranulocytosis. Completing the Abnormal Involuntary Movement Scale (AIMS) (C) is useful for assessing movement disorders associated with antipsychotic medications but is not relevant in this scenario of suspected agranulocytosis.<\/p>\n\n\n\n In summary, the priority action is to perform a CBC to evaluate for agranulocytosis, as this condition can have serious consequences if not identified and managed promptly.<\/p>\n","protected":false},"excerpt":{"rendered":" A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9\u00b0 F (38.8\u00b0 C). Which action should the nurse take? A.Encourage Increase Intake of oral fluids. B.Obtain a specimen for a complete blood count. C.Complete an Abnormal Involuntary Movement Scale (AIMS). D.Administer a PRN dose of acetaminophen. The […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138785","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138785"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}