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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
To calculate the volume of haloperidol solution needed, we can use the formula:
Volume(mL)=Dose(mg)/Concentration(mg/mL)
Given: Dose of haloperidol = 5 mg
Concentration of haloperidol solution = 20 mg/mL
Substituting the given values into the formula:
Volume(mL)=5 mg/20 mg/mL
Volume(mL)=5/20
Volume(mL)=0.25 mL
Rounded to the nearest hundredth, the nurse should administer 0.25 mL of haloperidol solution.
Correct Answer is B
Explanation
A. Give the medication: Administering expired medication poses potential risks to the client's safety and efficacy of treatment. Therefore, giving the medication is not appropriate.
B. Discard the medication: Expired medications may have decreased potency or even become harmful due to chemical changes over time. It is essential to discard expired medications to ensure client safety and maintain the effectiveness of treatment.
C. Notify the provider: While it's important to communicate issues related to medication administration to the healthcare provider, in this case, the expired medication should not be used regardless of provider notification.
D. Return the medication to the pharmacy: Returning expired medication to the pharmacy might be appropriate in some settings, but it is not the primary action to take in this situation. The priority is to ensure the client does not receive expired medication.
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