Test Bank Davis's Drug Guide for Nurses 16th Edition April Hazard Vallerand A+

Description

1. A nurse is caring for a 14-year-old patient with epilepsy. The child takes phenytoin and started taking Lamictal (lamotrigine) 50 mg/day approximately 10 days ago. The child’s mother calls to report a newly noted rash across the girl’s face and arms. Which of the following statements by the nurse is best?
2. “Did your daughter use a new soap?”
3. “Has your daughter been exposed to poison ivy or other plant irritants?”
4. “Do not give the Lamictal; your daughter will need to be seen by the doctor today.”
5. “This is commonly seen with Lamictal. A mild soap and calamine lotion may reduce any itching.”

ANS: C

See Nursing Implications/Assessment for lamotrigine. Assess patient for skin rash frequently during therapy. Discontinue lamotrigine at first sign of rash; it may be life-threatening.