Exam #2 Question&answer

Teaching for a client receiving carbamazepine (Tegretol) should include instructions that the client should immediately report which symptom? 1. leg cramping 2. blurred vision 3. lethargy 4. blister-like rash {Ans: Answer 4. Rationale: Carbamazepine (Tegretol) is associated with Stevens-Johnson syndrome and exfoliate dermatitis. A blister-like skin rash may indicate that these conditions are developing. Option 1, 2, and 3 are incorrect. Blurred vision, leg cramping, and drowsiness or lethargy are adverse effects of carbamazepine but do not require immediate reporting and may diminish over time.}A health care professional is obtaining a patient's drug history when he finds that the patient is taking lithium carbonate (Lithobid) for bipolar disorder. Which of the following findings in the patient's drug history should alert the health care professional to monitor for lithium toxicity? 1. Ciprofloxacin (Cipro) for a urinary infeciton 2. Montelukast (Singulair) for asthma 3. Furosemide (Lasix) for hypertension 4. Acetaminophen (Tylenol) for headaches {Ans: Answer 3. Rationale: Furosemide, a high-ceiling loop diuretic, increases sodium loss and can cause lithium reabsorption. The health care professional should evaluate the patient for lithium toxicity.}Nursing implementations of the administration of haloperidol (Haldol) to a patent exhibiting psychotic behavior include which of the following? (Select