The Principles of Anticonvulsant Therapy.
The Principles of Anticonvulsant Therapy. ( 4 Questions)
A nurse is preparing to administer carbamazepine (Tegretol) to a client who has partial seizures. The nurse should inform the client that this drug may cause which adverse effect?
Choice A is wrong because blurred vision or drowsiness are not adverse effects of carbamazepine, but rather common side effects that usually go away with time or dose adjustment¹². The nurse should advise the client to avoid driving or operating machinery until they know how the drug affects them, and to report any persistent or severe vision problems to their doctor²³.
You may develop a rash or itching. The nurse should inform the client that this drug may cause a rash or itching, which can be a sign of a serious allergic reaction or a rare but life-threatening skin condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN)¹². The nurse should instruct the client to stop taking the drug and seek medical attention immediately if they develop a rash, hives, blisters, peeling skin, fever, or swollen lymph nodes²³.
Choice C is wrong because difficulty urinating or constipation are not adverse effects of carbamazepine, but rather rare side effects that may indicate urinary retention or bowel obstruction¹⁴. The nurse should encourage the client to drink plenty of fluids, eat high-fiber foods, and exercise regularly to prevent these problems, and to report any difficulty passing urine or stool to their doctor³⁴.
Choice D is wrong because nausea or vomiting are not adverse effects of carbamazepine, but rather common side effects that can be minimized by taking the drug with food or milk¹². The nurse should advise the client to eat small, frequent meals and avoid spicy or fatty foo
You may develop a rash or itching. The nurse should inform the client that this drug may cause a rash or itching, which can be a sign of a serious allergic reaction or a rare but life-threatening skin condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN)¹². The nurse should instruct the client to stop taking the drug and seek medical attention immediately if they develop a rash, hives, blisters, peeling skin, fever, or swollen lymph nodes²³.
Choice A is wrong because blurred vision or drowsiness are not adverse effects of carbamazepine, but rather common side effects that usually go away with time or dose adjustment¹². The nurse should advise the client to avoid driving or operating machinery until they know how the drug affects them, and to report any persistent or severe vision problems to their doctor²³.
Choice C is wrong because difficulty urinating or constipation are not adverse effects of carbamazepine, but rather rare side effects that may indicate urinary retention or bowel obstruction¹⁴. The nurse should encourage the client to drink plenty of fluids, eat high-fiber foods, and exercise regularly to prevent these problems, and to report any difficulty passing urine or stool to their doctor³⁴.
Choice D is wrong because nausea or vomiting are not adverse effects of carbamazepine, but rather common side effects that can be minimized by taking the drug with food or milk¹². The nurse should advise the client to eat small, frequent meals and avoid spicy or fatty foo