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 A
Explanation
Choice A rationale:
Colesevelam is a medication used to treat high cholesterol levels by binding bile acids in the intestine, which results in increased bile acid excretion and a decrease in low- density lipoprotein (LDL) cholesterol levels.
Choice B rationale:
Chlorpromazine is an antipsychotic medication and is not used for treating high cholesterol.
Choice C rationale:
Cimetidine is an H2 receptor antagonist used to reduce stomach acid production and is not used for treating high cholesterol.
Choice D rationale:
Colchicine is used to treat gout and certain inflammatory conditions, but it is not used for high cholesterol treatment.
Correct Answer is C
Explanation
Choice A rationale:
Obtaining the client's HDL level is not relevant to the administration error.
Choice B rationale:
Collecting the client's uric acid level is not relevant to the administration error.
Choice C rationale:
Metformin is an antidiabetic medication used to control blood glucose levels. Since metformin was administered instead of metoprolol, the nurse should check the client's glucose level to monitor for potential effects of the incorrect medication.
Choice D rationale:
Monitoring the client's thyroid function levels is not relevant to the administration error involving metformin and metoprolol.
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