A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Sore throat

Increased salivation

Urge incontinence

Gingivitis

Answer and Explanation

The Correct Answer is A

A. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.

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Correct Answer is D

Explanation

A. Troponin: Troponin is used to evaluate cardiac injury, not the effectiveness of epoetin alfa.
B. Thyroxine (T4): T4 measures thyroid function, unrelated to epoetin alfa.
C. Aspartate aminotransferase (AST): AST is a liver enzyme, not used to monitor epoetin alfa therapy.
D. Hgb: Epoetin alfa stimulates erythropoiesis to increase hemoglobin levels in clients with anemia, particularly in chronic kidney disease or chemotherapy.

A. "Take the medication on an empty stomach." B. "Discontinue the medication if your saliva turns orange." C. "Return for another TB skin test in 3 months." D. "You will need to take this medication for 1 week."

Correct Answer is A

Explanation

A. "Take the medication on an empty stomach.": Rifampin is most effective when taken on an empty stomach to ensure better absorption.
B. "Discontinue the medication if your saliva turns orange.": This is a common side effect of rifampin, and the medication should not be discontinued due to this harmless effect.
C. "Return for another TB skin test in 3 months.": Follow-up skin tests are not necessary if the client is already undergoing treatment. The focus should be on medication adherence.
D. "You will need to take this medication for 1 week.": Rifampin is typically taken for several months (usually 6-9 months) to fully treat TB, not just for one week.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with a client who has a prescription for rifampin for the treatment of tuberculosis (TB). Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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