41. The health care provider prescribes carbamazepine (Tegretol) for a child whose tonicclonic seizures have been poorly controlled. The nurse informs the mother that the
child must have blood tests every week. The moth
...
41. The health care provider prescribes carbamazepine (Tegretol) for a child whose tonicclonic seizures have been poorly controlled. The nurse informs the mother that the
child must have blood tests every week. The mother asks why so many blood tests
are necessary. Which complication is assessed through frequent laboratory testing
that the nurse should explain to this mother?
Myelosuppression
42. The nurse is preparing a teaching plan for a client who has received a new
prescription for levothyroxine sodium (Synthroid). Which instruction should be
included?
"Take your pulse daily, and if it exceeds 100 beats/min, contact the health
care provider." - Levothyroxine sodium (Synthroid) should be withheld
if the pulse is over 100 beats/min. To prevent insomnia, the daily
dose should be taken early in the morning before breakfast, not at
bedtime.
43. Two hours after taking the first dose of penicillin, a client arrives at the emergency
department complaining of feeling ill, exhibiting hives, having difficulty breathing,
and experiencing hypotension. These findings are consistent with which client
response that requires immediate action?
Severe acute anaphylactic response
44. A child with cystic fibrosis is receiving ticarcillin disodium (Ticar)
for Pseudomonas pneumonia. For which adverse effect should the nurse assess and
report promptly to the health care provider?
Petechiae - Adverse effects of ticarcillin disodium (Ticar) include
hypothrombinemia and decreased platelet adhesion, which can result
in the presence of petechiae.
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