A patient taking carbamazepine (Tegretol) for seizures develops a fever and sore throat. There is no evidence of a rash or other dermatologic reaction.  A complete blood count (CBC) is ordered because these symptoms could indicate the onset of a potential black box warning associated with this drug.

A patient with Parkinson’s disease managed with levodopa/carbidopa and selegiline develops depression. Which class of antidepressant would be contraindicated due to a high risk of a serious drug interaction with selegiline? (Select All That Apply)

A client with insomnia is prescribed zolpidem. Which instruction is most important?

A 35-year-old client with increased intracranial pressure (ICP) from a traumatic brain injury is receiving mannitol 0.25 g/kg IV over 30 minutes. The nurse notes the client’s serum osmolality is 310 mOsm/kg (normal 280-295). Which nursing action is MOST appropriate?

A 29-year-old client with major depressive disorder is started on the SSRI, escitalopram. At a follow-up visit 10 days later, the client reports increased anxiety, restlessness, and mild nausea but denies suicidal ideation. Which nursing response is MOST appropriate?

A 10-year-old with ADHD is prescribed methylphenidate. The parent reports decreased appetite and mild weight loss. What is the appropriate next nursing action?

A 34-year-old client with nicotine use disorder and major depressive disorder (currently untreated) is starting smoking cessation therapy. He has no history of seizure disorder. The prescriber orders bupropion 150 mg orally twice daily. The nurse should:

A client with schizophrenia on risperidone reports orthostatic hypotension and weight gain. What is the appropriate nursing action?

Why are tricyclic antidepressants generally avoided as first-line therapy?

A 72-year-old with chronic kidney disease and peptic ulcer disease has a hip fracture (pain 8/10). The prescriber orders morphine 15 mg orally every 4 hours. What should the nurse do?