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. "I should watch for weight loss.": Prednisone is more commonly associated with weight gain, not weight loss.
B. "I should increase the sodium in my diet.": Prednisone can cause sodium retention, and the client should monitor their sodium intake, not increase it.
C. "I will take this medication on an empty stomach.": Prednisone should be taken with food to reduce the risk of gastrointestinal irritation.
D. "I will report a sore throat to my provider.": Prednisone can suppress the immune system, making the client more susceptible to infections, such as throat infections, which should be reported.

A. Troponin B. Thyroxine (T4) C. Aspartate aminotransferase (AST) D. Hgb

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.

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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

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