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?

A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.

D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.