A nurse is caring for a client that is newly diagnosed with seizures and is prescribed lamotrigine.
Which of the following is a serious complication of this medication that requires hospitalization?
Stevens-Johnson syndrome.
Gingival hyperplasia.
Opioid use disorder.
Hypotension.
The Correct Answer is A
Choice A rationale
Stevens-Johnson syndrome is a severe and potentially life-threatening reaction to medications, including lamotrigine. It is characterized by widespread skin necrosis and mucous membrane involvement. Hospitalization is required to manage the symptoms and prevent complications such as infections and organ failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ciprofloxacin is a bactericidal antibiotic that works by inhibiting DNA gyrase, an enzyme necessary for DNA replication in bacteria. This prevents bacterial cells from replicating and ultimately leads to their death.
Choice B rationale
Ciprofloxacin does not accelerate bacterial growth; instead, it inhibits growth by preventing DNA replication.
Choice C rationale
Ciprofloxacin is not a diuretic. Diuretics work on the kidneys to increase urine production, but ciprofloxacin targets bacterial DNA replication.
Choice D rationale
Ciprofloxacin is not a beta-blocker and does not lower heart rate or blood pressure. Beta-blockers work by blocking beta-adrenergic receptors in the heart.
Correct Answer is A
Explanation
Choice A rationale
Rotating injection sites helps prevent lipohypertrophy, which is the thickening of subcutaneous tissue due to repeated insulin injections at the same site.
Choice B rationale
Performing injections at the same location every time increases the risk of lipohypertrophy, leading to poor insulin absorption and erratic glucose control.
Choice C rationale
Administering an additional dose of insulin as needed does not address the issue of lipohypertrophy and can lead to hypoglycemia if not carefully monitored.
Choice D rationale
Insulin is a peptide hormone that must be injected. Taking it orally is ineffective as it would be broken down in the digestive system.
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