A patient with bipolar disorder takes lamotrigine. Which complaint by the patient would prompt the nurse to hold the drug and refer the patient to the physician for further assessment?
a. I get a little dizzy sometimes.
b. I had a headache last week that lasted for about an hour.
c. I've broken out in a rash on my chest and back.
d. Last night I woke up twice with a bad dream.
Question 2
A nurse monitors a patient with bipolar disorder who has taken carbamazepine for 2 years. Which laboratory value requires the most diligent surveillance?
a. Serum urea nitrogen
b. Direct bilirubin
c. Complete blood count
d. Thyroid function studies