A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Drowsiness

Nausea and vomiting

Rash

Dry mouth.

Answer and Explanation

The Correct Answer is C

According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.

Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem. However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.

Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk. The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.

Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes. The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.

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Correct Answer is ["C"]

Explanation

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication.This is because aged cheese and red wine contain tyramine, an amino acid that can cause a dangerous increase in blood pressure when mixed with MAOIs.MAOIs are drugs that inhibit the enzyme that breaks down excess tyramine in the body.A hypertensive crisis can be deadly and requires emergency treatment.

Choice A and B are partially correct, but not complete. The client should be advised to avoid aged cheese and red wine while taking this medication, but this does not explain why or what could happen if they do not.

Choice D is wrong because serotonin syndrome is caused by too much serotonin, not tyramine.Serotonin syndrome can occur when MAOIs are taken with other drugs that increase serotonin levels, such as SSRIs.

Choice E is wrong because hypotension is low blood pressure, not high blood pressure.

Tyramine can cause hypertension, not hypotension.Hypotension can be a side effect of some MAOIs, but it is not related to tyramine intake.

A. “Avoid driving or operating machinery while taking this medication.” B. “Take this medication on an empty stomach to increase absorption.” C. “Drink plenty of fluids and suck on hard candy to prevent dry mouth.” D. “Report any signs of urinary retention or difficulty urinating.”

Correct Answer is A

Explanation

Hydroxyzine (Vistaril) is an antihistamine that can cause drowsiness and sedation as side effects.Therefore, the client should avoid activities that require alertness and coordination while taking this medication.

Choice B is wrong because hydroxyzine can be taken with or without food.Taking it on an empty stomach does not increase absorption.

Choice C is wrong because hydroxyzine can cause dry mouth as a side effect, but the client does not need to drink plenty of fluids or suck on hard candy to prevent it.These measures may help relieve the discomfort of dry mouth, but they are not necessary instructions for taking hydroxyzine.

Choice D is wrong because hydroxyzine does not cause urinary retention or difficulty urinating as side effects.These are signs of anticholinergic toxicity, which can occur with other medications such as tricyclic antidepressants or antipsychotics.

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A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

Correct Answer is ["C"]

Explanation

A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A patient has been prescribed an SSRI for depression and reports feeling more anxious since starting the medication. The nurse should:

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A nurse is caring for a client who has bipolar disorder and is prescribed lamotrigine (Lamictal). Which of the following instructions should be included in the teaching? (Select all that apply.)

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

A nurse is providing discharge teaching to a client who has a new prescription for phenelzine for depression. Which of the following foods should the nurse instruct the client to avoid while taking this medication? (Select all that apply.).

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?