The client is receiving carbamazepine (Tegretol) for control of seizures. The client tells the nurse she plans to become pregnant. Which response by the nurse is the most appropriate?
1. "Please talk to your doctor; this drug is contraindicated in the pregnancy."
2. "Your medication dose will need to be decreased during your pregnancy."
3. "Your medication dose will need to be increased during your pregnancy."
4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)."
Correct Answer: 1
Rationale 1: Carbamazepine (Tegretol) falls under pregnancy category D and is contraindicated in pregnancy.
Rationale 2: The medication does not need to be decreased; it might need to be stopped.
Rationale 3: The medication does not need to be increased; it might need to be stopped.
Rationale 4: Valproic acid (Depakene) is also a pregnancy category D drug and is contraindicated during pregnancy.
Global Rationale: Carbamazepine (Tegretol) falls under pregnancy category D and is contraindicated in pregnancy. The medication does not need to be decreased or increased; it might need to be stopped. Valproic acid (Depakene) is also a pregnancy category D drug and is contraindicated during pregnancy.
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