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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Weight gain is not typically associated with fluid volume deficit.
Choice B rationale:
Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.
Choice C rationale:
Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.
Choice D rationale:
Headaches can occur for various reasons and are not specific to fluid volume deficit.
Correct Answer is C
Explanation
Choice A rationale:
Testing negative for HIV does not mean that the client is taking the antibiotics as prescribed. HIV is a virus that weakens the immune system and makes people more susceptible to tuberculosis, but it is not related to the medication regimen for tuberculosis.
Choice B rationale:
having a positive purified protein derivative test does not mean that the client is taking the antibiotics as prescribed. A purified protein derivative test is a skin test that checks for exposure to tuberculosis bacteria, but it does not measure the effectiveness of the medication regimen. A positive test means that the client has been exposed to tuberculosis bacteria at some point in their life, but it does not mean that they have an active infection or that they are taking the antibiotics as prescribed.
Choice C rationale:
The client has a negative sputum culture. A sputum culture is a test that checks for the presence of tuberculosis bacteria in the mucus that is coughed up from the lungs. A negative sputum culture means that the bacteria are no longer detectable and that the medication regimen is effective. A positive sputum culture means that the bacteria are still present and that the medication regimen may need to be adjusted.
Choice D rationale:
Having normal liver function test results does not mean that the client is taking the antibiotics as prescribed. Liver function tests are blood tests that check for damage to the liver caused by medications or other factors. Isoniazid and rifampin can cause liver damage, so the nurse should monitor the client's liver function tests regularly to prevent or detect any problems. However, having normal liver function test results does not mean that the client is taking the antibiotics as prescribed or that the medication regimen is effective.
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