The nurse is caring for a client who is receiving azathioprine, cyclosporine, and prednisone

4 (Symptoms of infection are suggestive of agranulocytosis, an adverse effect that can occur with clozapine therapy and can cause death. Remaining in bed, drinking fluids, taking aspirin, and asking the primary healthcare provider to decrease the dose of clozapine is unsafe, because agranulocytosis may be developing, and this life-threatening side effect requires immediate treatment. Also, prescribing medications is outside the legal role of the nurse. Only a certified nurse practitioner or other licensed healthcare provider can prescribe medications. Although discontinuing the medication is acceptable advice, delaying a primary healthcare provider's evaluation is unsafe. Continuing the medication, drinking fluids, taking aspirin, and seeing the primary healthcare provider in a few days if the condition does not improve is unsafe, because agranulocytosis may be developing.)

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