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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
A. Walking with the nurse in the courtyard provides a simple, safe, and structured activity that promotes physical exercise and reduces excess energy in a way that is appropriate for someone in a manic state. This also gives the nurse an opportunity to observe the client's behavior and provide supervision.
B. Watching a video with a group might not engage the client sufficiently and could be too passive for someone experiencing mania who might need a more stimulating activity.
C. Participating in a basketball game could be too physically demanding and might escalate the client's manic behavior, especially if they have high energy or impulsivity.
D. Joining a group discussion about a local election may not be stimulating enough for the client in a manic state, as it requires focus and attention that might be difficult for the client to maintain during acute mania.
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