A child who receives valproic acid (Depakote) begins taking lamotrigine (Lamictal) because of an increase in the number of seizures. The nurse will observe this child closely for which symptom?

a. Angioedema
b. Hypohidrosis
c. Rash
d. Psychosis


ANS: C
Lamotrigine can cause life-threatening rashes, such as Stevens-Johnson syndrome and toxic epidermal necrolysis, and this risk increases with concurrent use of valproic acid. Angioedema is an adverse effect associated with pregabalin. Hypohidrosis and psychosis are associated with topiramate.

Nursing

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On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5 ° C (97.7 ° F). What will her temperature measurement most likely be if ovulation takes place on day 14?

a. 35.9 ° C (96.7 ° F) b. 36.3 ° C (97.3 ° F) c. 36.7 ° C (98.1 ° F) d. 37.1 ° C (98.9 ° F)

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Of the following stimuli, which is known to trigger an exaggerated autonomic response in the patient who has suffered a spinal cord injury?

A) Listening to quiet music B) Placing the patient in semi-Fowler's position C) Voiding D) Constipation

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A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm) tall and weighs 88 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-deficiency anemia. Which nursing diagnosis has the highest priority?

a. Risk for activity intolerance related to anemia b. Risk for electrolyte imbalance related to eating patterns c. Ineffective health maintenance related to body image obsession d. Imbalanced nutrition: less than body requirements related to anorexia

Nursing

During the assessment of a healthy older adult, which normal age-related changes in memory functioning should a nurse anticipate?

A) Mild deterioration in short-term memory; no change in long-term memory B) Mild deterioration in short-term memory; mild deterioration in long-term memory C) No change in short-term memory; mild deterioration in long-term memory D) No change in short-term memory; no change in long-term memory

Nursing