A nurse is teaching a client taking carbamazepine about what action he should take related to his serum drug level. Which of the following would indicate client understanding of the instruction for a serum carbamazepine level of 11 mcg/L?
a. "I would notify my doctor right away."
b. "I will plan to take my next dose as usual."
c. "I should expect my doctor to call the pharmacy for a higher dose of my medicine."
d. "I will double up on my next dose and then go back to my regular dose."
ANS: B
Feedback
A Incorrect: Because the drug level is within defined limits, he doesn't need to notify his health care provider "right away."
B Correct: The normal level for carbamazepine is 4-12 mcg/mL, so his level is normal and he should plan to continue his medication at its present dose.
C Incorrect: This indicates further teaching is needed.
D Incorrect: This indicates further teaching is needed.
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