A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Drowsiness

Nausea and vomiting

Rash

Dry mouth.

Answer and Explanation

The Correct Answer is C

According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.

Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem. However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.

Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk. The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.

Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes. The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.

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Correct Answer is C

Explanation

Serum lithium levels should be monitored regularly while taking this medication because lithium has a narrow therapeutic range and can cause toxicity if the levels are too high or ineffective if the levels are too low.The normal range for serum lithium levels is 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L).

Choice A is wrong because blood glucose levels are not affected by lithium and do not need to be monitored regularly.

Choice B is wrong because serum potassium levels are not affected by lithium and do not need to be monitored regularly.

Choice D is wrong because serum calcium levels are not affected by lithium and do not need to be monitored regularly.

A. Avoid exposure to sunlight. B. Take the medication on an empty stomach. C. Discontinue the medication when symptoms improve. D. Increase intake of foods rich in vitamin K.

Correct Answer is A

Explanation

Avoid exposure to sunlight.Imipramine (Tofranil) is a tricyclic antidepressant that can cause photosensitivity and increase the risk of sunburn.The nurse should instruct the client to wear sunscreen, protective clothing, and sunglasses when outdoors.

Choice B is wrong because taking imipramine on an empty stomach can cause nausea and vomiting.The nurse should advise the client to take the medication with food or milk.

Choice C is wrong because discontinuing imipramine abruptly can cause withdrawal symptoms such as headache, nausea, and malaise.The nurse should instruct the client to taper off the medication gradually under the supervision of the provider.

Choice D is wrong because increasing intake of foods rich in vitamin K is not related to imipramine therapy.Vitamin K is a clotting factor that can interact with anticoagulants such as warfarin.Imipramine does not affect vitamin K levels or coagulation.

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A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a client who has a new prescription for imipramine (Tofranil). Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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