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A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?
Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem. However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.
Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk. The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.
According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.
Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes. The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.
According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.
Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem. However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.
Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk. The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.
Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes. The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.