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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Related Questions
Correct Answer is B
Explanation
A. Resting in bed may be helpful later, but it does not provide the immediate reassurance and support needed during a panic attack.
B. Remaining with the client provides reassurance, safety, and emotional support during a panic attack, which is essential for de-escalation.
C. Having the client join a therapy group during a panic attack would be overwhelming and inappropriate.
D. Administering a sedative may be considered later but should not be the first intervention, as verbal support and reassurance are the priority during a panic attack.
Correct Answer is B
Explanation
A. While gastrointestinal side effects are common with fluoxetine, they are not the priority concern in the context of bipolar disorder.
B. Fluoxetine (Prozac) is an SSRI used to treat depression, but in patients with bipolar disorder, it can trigger a manic episode. Therefore, the nurse's priority is to monitor for signs of mania, such as increased energy, euphoria, or impulsivity.
C. Administering the medication as ordered is essential, but the nurse must be vigilant for signs of mania, especially with SSRIs in bipolar patients.
D. Educating about weight gain is important but does not address the immediate risk of precipitating mania with fluoxetine in a bipolar patient.
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