which diagnostic study result will the nurse monitor as a priority in a patient receiving clozapine for…

which diagnostic study result will the nurse monitor as a priority in a patient receiving clozapine for schizophrenia? select all that apply. one, some, or all responses may be correct.\n\na oral glucose tolerance test\nb electrocardiogram\nc fasting plasma glucose\nd liver function tests\ne lipid panel\nf urinalysis

which diagnostic study result will the nurse monitor as a priority in a patient receiving clozapine for schizophrenia? select all that apply. one, some, or all responses may be correct.\n\na oral glucose tolerance test\nb electrocardiogram\nc fasting plasma glucose\nd liver function tests\ne lipid panel\nf urinalysis

Answer

Brief Explanations:

Clozapine is an atypical antipsychotic medication used for treatment-resistant schizophrenia. While it is highly effective, it is associated with significant metabolic side effects and cardiovascular risks.

  1. Metabolic Monitoring: Clozapine frequently causes weight gain, dyslipidemia, and insulin resistance, which can lead to type 2 diabetes. Therefore, monitoring Fasting plasma glucose (C) and a Lipid panel (E) is essential to manage metabolic syndrome.
  2. Cardiovascular Monitoring: Clozapine carries a risk of myocarditis and QT interval prolongation. An Electrocardiogram (B) is monitored to detect these potentially fatal cardiac complications.
  3. Other considerations: While agranulocytosis is the most critical priority (requiring Absolute Neutrophil Count monitoring), it is not listed among the options. Among the provided choices, B, C, and E represent the standard of care for monitoring the drug's known adverse effect profile. Oral glucose tolerance tests are generally not the primary screening tool compared to fasting glucose, and liver/urinalysis are not specific priority requirements for clozapine.

Answer:

B. Electrocardiogram C. Fasting plasma glucose E. Lipid panel