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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 B

Explanation

Choice A rationale:

Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.

Choice B rationale:

Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.

Choice C rationale:

A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.

Choice D rationale:

Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.

A. Nondominant dorsal B. Nondominant forearm basilic vein C. Dominant distal dorsal vein D. Dominant antecubital basilic vein

Correct Answer is B

Explanation

Choice A rationale:

The dorsal vein is not typically used for peripheral IV catheter placement due to its location and potential for complications.

Choice B rationale:

The nondominant forearm basilic vein is a common site for peripheral IV catheter placement due to its accessibility and stability.

Choice C rationale:

The distal dorsal vein is not a common site for peripheral IV catheter placement.

Choice D rationale:

The antecubital basilic vein can be used, but the nondominant forearm basilic vein is often preferred for peripheral IV catheter placement due to its accessibility and stability.

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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

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