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    Pharmacology Exam 2 (Dallas University) Proctored Exam

    The nurse is reviewing the lab values for a client taking Clozaril (clozapine). Which of the following lab values would the nurse recognize as being caused by this medication? Select your answer by clicking the desired location on the highlighted lab results. LAB RESULTS Lab Result Normal Range WBC-4000/mm3 4.5-11/mm3 Platelets 200,000 150,000-450,000 Na-140 mEq/L 135-145 mEq/L

    Explanation & Rationale

    Rationale: • WBC – 4000/mm³: Clozapine is well known for causing agranulocytosis, a serious adverse effect characterized by a significant decrease in white blood cells. A WBC of 4000/mm³ is below the normal range and may indicate early bone marrow suppression. This places the client at increased risk for infection. Regular monitoring of WBC is essential. • Platelets – 200,000: This value falls within the normal range and is not typically affected by clozapine therapy. Clozapine primarily impacts white blood cell production rather than platelets. There is no indication of thrombocytopenia or bleeding risk from this value. Therefore, it is not associated with the medication’s adverse effects. • Na – 140 mEq/L: This sodium level is within the normal range and does not indicate any electrolyte imbalance. Clozapine is not commonly associated with significant sodium disturbances. The value does not reflect any complication related to the medication.

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