A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

Nausea

Tremors

Skin rash

Drowsiness

Answer and Explanation

The Correct Answer is C

A. Nausea is a common side effect but is not as critical as a skin rash.

B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.

C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.

D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Hormonal therapy may be used for PMDD but is not a distinguishing factor from PMS.

B. PMDD involves both mood and physical symptoms, unlike PMS, which primarily involves physical symptoms.

C. PMDD symptoms may persist through the beginning of menstruation, unlike PMS, which typically resolves with the onset of the period.

D. Premenstrual dysphoric disorder (PMDD) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances, irritability, and functional impairment that significantly affect a person’s ability to function in daily life.

A. Liver function tests must be monitored. B. Thyroid function tests should be performed every 6 months. C. A pretreatment electroencephalogram (EEG) will be done. D. High serum sodium levels can cause toxic levels of valproate

Correct Answer is A

Explanation

A. Valproate is associated with potential liver toxicity, so liver function tests must be monitored regularly during treatment.

B. Thyroid function tests are not required with valproate therapy, although they are important for other medications, such as lithium.

C. A pretreatment EEG is not necessary for valproate use. This test is typically used for clients with seizure disorders.

D. High serum sodium levels are not related to valproate toxicity; however, low sodium levels can increase the risk of toxicity.

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A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?

Correct Answer is D

Explanation

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

Correct Answer is A

Explanation

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