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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 A

Explanation

Choice A rationale:

Calcium gluconate is used to treat hypermagnesemia by antagonizing the effects of excess magnesium and reducing its impact on cardiac function.

Choice B rationale:

Flumazenil is used to reverse the effects of benzodiazepine overdose, not to treat hypermagnesemia.

Choice C rationale:

Protamine sulfate is used to reverse the effects of heparin, not to treat hypermagnesemia.

Choice D rationale:

Acetylcysteine is used to treat acetaminophen overdose, not to treat hypermagnesemia.

A. Sodium 137 mEq B. Hgb 15 g/ C. Hct 439 D. Creatinine 2.5 mg/dl

Correct Answer is D

Explanation

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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