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Author Question: A patient with bipolar disorder takes lamotrigine Lamictal. Which statement by the patient would ... (Read 32 times)

kwoodring

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on: Jul 23, 2018
A patient with bipolar disorder takes lamotrigine Lamictal. Which statement by the patient would prompt the nurse to hold the drug and notify the prescriber 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 working in a family planning clinic is preparing to administer a first dose of intramus-cular DMPA Depo-Provera to a young adult patient. The woman tells the nurse she has just finished her period. What will the nurse do?
 
  a. Administer the injection today and coun-sel backup contraception for 7 days.
  b. Administer the injection today and tell her that protection is immediate.
  c. Obtain a pregnancy test to rule out preg-nancy before administering the drug.
  d. Schedule an appointment for her to re-ceive the injection in 3 weeks.


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braelync

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Evidence of a rash in a patient taking lamotrigine requires further assessment, because this may indicate the development of Stevens-Johnson syndrome. Although dizziness and headaches are side effects of lamotrigine, they are not potentially life threatening. A bad dream is not necessar-ily related to the lamotrigine.

Answer to Question 2

D
To ensure that patients are not pregnant when they receive DMPA, the first injection should be given during the first 5 days of a normal menstrual period.


kwoodring

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Reply 2 on: Jul 23, 2018
Excellent

softEldritch

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Reply 3 on: Yesterday
Wow, this really help

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