A client with bipolar disorder, having experienced a depressive episode, is prescribed lamotrigine. After educating the client on this medication, the nurse determines that the education was successful when the client states which of the following?
A) "I need to notify my physician if I develop a skin rash."
B) "I need to have my blood tested about once a month."
C) "I have to watch how much salt I use every day."
D) "This drug can affect my liver function."
Ans: A
Lamotrigine has a boxed warning for skin rash, which should be reported immediately if it develops. In most cases the rash is benign, but it is not possible to predict whether the rash is benign or serious (Stevens-Johnson syndrome). Blood testing is needed for other mood stabilizers such as lithium, divalproex, and carbamazepine. Salt is a concern with lithium therapy. Liver function can be affected by carbamazepine.
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