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A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?

Nicotine transdermal system

Beclomethasone

Estrogen-progestin combination

Diphenhydramine

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Nicotine transdermal system is not known to have a significant interaction with carbamazepine.

Choice B rationale:

Beclomethasone is not known to have a significant interaction with carbamazepine.

Choice C rationale:

Carbamazepine can induce the metabolism of estrogen and progestin, potentially reducing their effectiveness in birth control. Women taking these combinations should use alternative contraceptive methods.

Choice D rationale:

Diphenhydramine is not known to have a significant interaction with carbamazepine.

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Correct Answer is B

Explanation

Choice A rationale:

Increased pain relief is not a therapeutic effect of naloxone, but rather an adverse effect of morphine. Naloxone would reduce the analgesic effect of morphine and increase the pain sensation in the client.

Choice B rationale:

Naloxone is an opioid antagonist that reverses the effects of opioids, such as morphine, on the central nervous system. One of the main adverse effects of opioids is respiratory depression, which can lead to hypoxia and death. Naloxone restores normal breathing by blocking the opioid receptors in the brain and spinal cord. Therefore, a therapeutic effect of naloxone is increased respiratory rate.

Choice C rationale:

Decreased blood pressure is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the blood pressure significantly, unless the client had severe hypotension due to opioid overdose.

Choice D rationale:

Decreased nausea is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the gastrointestinal system, unless the client had severe nausea and vomiting due to opioid overdose.

A. The client reports a history of nausea with cefuroxime. B. The client has a BUN level of 18 mg/dL. C. The client takes an aspirin daily. D. The client has a history of a severe penicillin allergy.

Correct Answer is D

Explanation

Choice A rationale:

A history of nausea with cefuroxime is a common side effect and may not be the highest priority to report.

Choice B rationale:

A BUN level of 18 mg/dL is within the normal range and may not be an immediate concern.

Choice C rationale:

Taking aspirin daily may have some interactions with cefuroxime, but a history of a severe penicillin allergy is more critical to report.

Choice D rationale:

Cefuroxime is a cephalosporin antibiotic, and individuals with a severe penicillin allergy may have an increased risk of cross-reactivity with cephalosporins. This history should be reported to the provider for further assessment and consideration of alternative antibiotics.

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A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering naloxone to a client who has developed an adverse action to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has sinusitis and a nem prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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