A nurse is caring for a client who has been taking lorazepam (Ativan) for anxiety and insomnia for several months. The client tells the nurse that he wants to stop taking the medication because he feels better now. Which of the following responses should the nurse give?

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.

This is because SSRIs can cause increased anxiety in some patients during the first few weeks of treatment, but this usually subsides as the medication takes effect.Discontinuing the medication abruptly can cause withdrawal symptoms and worsen the depression.Increasing the dose of the medication is not advisable without consulting the prescriber, as it may increase the risk of adverse effects and serotonin syndrome.Administering an anxiolytic medication may interact with the SSRI and cause excessive sedation or respiratory depression.

Choice A is wrong because discontinuing the medication immediately can cause withdrawal symptoms and worsen the depression.

Choice B is wrong because increasing the dose of the medication is not advisable without consulting the prescriber, as it may increase the risk of adverse effects and serotonin syndrome.

Choice D is wrong because administering an anxiolytic medication may interact with the SSRI and cause excessive sedation or respiratory depression.

Normal ranges for SSRIs vary depending on the specific drug, but generally they are between 20 and 200 ng/mL.The therapeutic effects of SSRIs usually take 3 to 6 weeks to appear.