The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

White blood cell count

Potassium level

BUN/Creatinine

Sodium level

Answer and Explanation

The Correct Answer is A

A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.

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Correct Answer is D

Explanation

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

A. Morphine B. Heparin C. Streptokinase D. Aspirin

Correct Answer is D

Explanation

A. Morphine is used for pain relief and to reduce stress on the heart during an acute myocardial infarction but is not continued indefinitely.
B. Heparin is an anticoagulant used during an acute myocardial infarction but is not used long-term; it is typically administered during hospitalization.
C. Streptokinase is a thrombolytic agent used to dissolve clots during an acute myocardial infarction but is not continued after the initial treatment.
D. Aspirin is an antiplatelet medication that helps prevent clot formation and is continued indefinitely after an acute myocardial infarction to reduce the risk of future events.

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The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Correct Answer is D

Explanation

Which of the following medications is administered during an acute ST-elevation myocardial infarction and continued indefinitely after?

Correct Answer is D

Explanation

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