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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 C

Explanation

Choice A rationale:

A hematocrit (Hct) value of 44% is within the expected range and does not require immediate reporting.

Choice B rationale:

A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.

Choice C rationale:

Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.

Choice D rationale:

A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.

A. BUN 15 mg/dL B. Potassium 3.8 mEq/L C. The client reports dizziness upon standing. D. The client reports difficulty hearing.

Correct Answer is C

Explanation

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

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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

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