Which premedication assessment by the nurse is most important prior to the initiation of carbamazepine (Tegretol) therapy?
a. Determine patient's ancestry.
b. Monitor blood pressure (BP) lying, sitting, and standing.
c. Auscultate lung sounds.
d. Obtain smoking history.
ANS: A
The nurse needs to review the patient's history to exclude Asian ancestry, including South Asian Indians. If the patient does have this ancestry, bring it to the prescriber's attention so that genetic testing may be completed. BP monitoring is important and hypotension is an adverse effect, but it is not as significant to monitor prior to the initiation of therapy. Lung sound assessment and smoking history assessment are important assessments, but not prior to the initiation of carbamazepine therapy.
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