Proctored Pharmacology ATI Related

Review Proctored Pharmacology ATI related questions and content

A client with Bipolar disorder has a new prescription for Carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

  • A. This medication can safely be taken during pregnancy.
  • B. Eliminate grapefruit juice from your diet.
  • C. You will need to have a complete blood count and carbamazepine levels drawn periodically.
  • D. Notify your provider if you develop a rash.
Correct Answer: B

Rationale: Grapefruit juice affects carbamazepine metabolism and should be avoided. It can lead to increased levels of the medication, potentially causing toxicity. Monitoring carbamazepine blood levels and the complete blood count (CBC) is essential to ensure the medication's efficacy and safety. Carbamazepine can cause serious adverse effects like Stevens-Johnson syndrome, which can be life-threatening. Therefore, the client should promptly report any rash to the healthcare provider. Additionally, the client should be educated about potential central nervous system (CNS) side effects such as drowsiness or dizziness, and advised to avoid activities requiring alertness until these effects diminish.