The nurse is reading the laboratory results for a client being treated with carbamazepine (Tegretol) for prophylaxis of complex partial seizures
When evaluating the client's laboratory data, the nurse determines that which of the following values is consistent with an adverse effect of this medication? 1. Blood urea nitrogen (BUN), 19 mg/dL
2. Sodium level, 136 mEq/L
3. Platelet count, 350,000/mm3
4. White blood cell count, 3200/mm3
4
Rationale: Adverse effects of carbamazepine appear as blood dyscrasias, including aplastic anemia, agranulocytosis, thrombocytopenia, and leukopenia. Other adverse effects include cardiovascular disturbances, thrombophlebitis, dysrhythmias, and dermatological effects.
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The nurse is planning essential activities for a critically ill patient. In order to provide the least impact on oxygen consumption, the nurse would be certain the patient rests before and after which activity?
1. Abdominal wound dressing change 2. Bed bath 3. Daily weight using bed sling scale 4. Turning and repositioning
The nurse is conducting a health history with a patient exhibiting signs of Parkinson disease. Which question should the nurse ask the patient?
1. "Do you recall if any of your relatives had difficulty holding on to things with their hands?" 2. "Do you remember what you ate for breakfast this morning?" 3. "Is it painful to flex your chin to your chest?" 4. "Did your muscle weakness first occur in your arms or in your legs?"
The nurse admits a patient who has an acute kidney infection but refuses to take any medication. Which is the best initial nursing intervention to implement the therapeutic regimen?
a. Notify the healthcare provider of the situ-ation. b. Inform the patient about the risk of renal failure. c. Talk with the patient about taking the an-tibiotics. d. Disguise the medications so the patient takes them.
A cycloplegic drug would cause which of the following?
a. constriction of the pupil b. dilation of the pupil c. paralysis of the ciliary muscles