A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?

"He has so many new bruises on his body."

"He says his mouth is always dry."

"He says he feels sick to his stomach after taking this medication."

"He takes a 2-hour nap every day after school."

Answer and Explanation

The Correct Answer is A

A. "He has so many new bruises on his body."

This statement raises concerns about potential adverse effects of carbamazepine, such as hematologic effects like thrombocytopenia, which could manifest as bruising. Given the potential seriousness of this issue, it should be the nurse's priority to further assess and address.

B. "He says his mouth is always dry."

Dry mouth (xerostomia) is a common side effect of carbamazepine, but it is generally not as concerning as other potential adverse effects such as hematologic issues or liver toxicity.

C. "He says he feels sick to his stomach after taking this medication."

Gastrointestinal side effects, including nausea, are common with carbamazepine but are typically not as urgent or serious as other potential adverse effects.

D. "He takes a 2-hour nap every day after school."

While changes in sleep patterns can be important to monitor, especially in adolescents, it is not as urgent as addressing potential adverse effects such as bruising.

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Correct Answer is B

Explanation

B. "Describe what the pill looks like":

This is the correct response. Asking the client to describe the pill they usually take helps to verify whether the medication being administered matches the client's usual medication. It allows the nurse to confirm whether the client's concern is due to a legitimate difference in appearance or if there might be a potential medication error.

A. "This pill is probably from a different lot number than yours at home":

While lot numbers can vary between batches of medication, this response does not directly address the client's concern about the difference in appearance. It's important to prioritize addressing the client's immediate concerns and verifying the medication's identity.

C. "This hospital might use a different manufacturer, but the medication is the same":

While this response reassures the client about the medication's efficacy, it does not directly address the client's concern about the difference in appearance. Verifying the medication's identity based on the client's description is essential before proceeding with administration.

D. "This is the medication prescribed by your provider":

This response does not address the client's concern about the difference in appearance and may not alleviate their apprehension. Verifying the medication's identity based on the client's description is necessary to ensure the correct medication is administered.

A. Disulfiram B. Methadone C. Buprenorphine D. Diazepam

Correct Answer is D

Explanation

A. Disulfiram: Disulfiram is not used to manage alcohol withdrawal. It is a medication used in the treatment of alcohol dependence to deter alcohol consumption by producing unpleasant side effects if alcohol is ingested.

B. Methadone: Methadone is primarily used in the treatment of opioid dependence as a long-acting opioid agonist. It is not indicated for alcohol withdrawal.

C. Buprenorphine: Buprenorphine is also used in the treatment of opioid dependence. Like methadone, it is not used in the management of alcohol withdrawal.

D. Diazepam: Diazepam is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms. It helps alleviate symptoms such as anxiety, agitation, tremors, and seizures associated with alcohol withdrawal. Benzodiazepines are the mainstay of treatment for alcohol withdrawal syndrome due to their ability to suppress central nervous system hyperexcitability and prevent progression to severe withdrawal symptoms and seizures.

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A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client who states. "That looks different from the pill I usually take." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?

Correct Answer is D

Explanation

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