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
Gingivitis
Urge incontinence
Increased salivation
The Correct Answer is A
A. Sore throat is a common side effect of carbamazepine. Carbamazepine causes agranulocytosis whose earliest sign is a sore throat.
B. Gingivitis is not a side effect associated with carbamazepine.
C. Urge incontinence, or the sudden, uncontrollable urge to urinate, is not a common adverse effect of carbamazepine.
D. Increased salivation is not a typical adverse effect of carbamazepine. While dry mouth is a possible side effect, increased salivation would be unusual.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.
Correct Answer is A
Explanation
A. Increased respiratory rate is a sign that naloxone is effectively reversing opioid-induced respiratory depression. Opioids can suppress the respiratory drive, leading to hypoventilation or respiratory arrest. Naloxone works by competitively binding to opioid receptors and displacing opioids, thereby restoring normal respiratory function.
B. Increased temperature is not a direct effect of naloxone administration. Naloxone primarily reverses the central nervous system depressant effects of opioids, including respiratory depression and sedation, rather than affecting body temperature.
C. Naloxone does not directly affect pain perception. Its primary action is to reverse the respiratory depression and central nervous system depression caused by opioids. While the client may experience pain relief indirectly as a result of improved respiratory function and consciousness, naloxone itself does not directly reduce pain.
D. Decreased blood pressure is not a direct effect of naloxone administration. Naloxone primarily reverses the respiratory and central nervous system depressant effects of opioids, rather than affecting blood pressure directly.
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