Georgette’s Psychiatric-Mental Health Nurse Practitioner (PMHNP) Certification LMR Practice Exam

A patient taking clozapine develops a fever. What should be checked promptly?

Check renal function Check absolute neutrophil count (ANC) level to assess for agranulocytosis Antidepressants, St. John's Wort, S adenosyl methionine, Kava Kava, and Tryptophan Increased risk of lithium toxicity, gout meds, ibuprofen, naproxen, etc

Correct Answer:

Check absolute neutrophil count (ANC) level to assess for agranulocytosis

Explanation:

Fever or infection symptoms in a patient taking clozapine require prompt ANC evaluation because clozapine can cause severe neutropenia/agranulocytosis.

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