A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility Exhibits Complete the following sentence by using the list of options: The nurse should clarify the prescription for clozapine due to the client’s dropdown.

Choice A rationale: WBC count Clozapine carries a risk of agranulocytosis, a severe reduction in white blood cell (WBC) count that can leave the body vulnerable to infections. The client’s WBC count of 4,800/mm³ is below the normal range (5,000–10,000/mm³), raising concern for compromised immune function. Since routine monitoring of WBC is necessary for clients on clozapine, the provider should be notified to reassess whether the medication should be continued or adjusted. Choice B rationale: Blood glucose level While the client’s blood glucose level of 200 mg/dL is elevated, atypical antipsychotics like clozapine can contribute to metabolic syndrome and insulin resistance. However, this is not an immediate reason to clarify the prescription unless hyperglycemia is significantly worsening or causing complications. Choice C rationale: Blood pressure A blood pressure of 110/68 mm Hg is within normal limits and does not necessitate clarification of the prescription. Clozapine may cause hypotension in some clients, but this reading does not indicate a concerning drop in blood pressure. Choice D rationale: Temperature A temperature of 37.8°C (100.0°F) is slightly elevated but does not independently warrant medication clarification. However, because fever plus a low WBC count raises the suspicion of infection, the provider should be informed of both findings to assess potential complications.