The health care provider prescribes carbamazepine for a child whose tonic-clonic seizures have been

poorly controlled. The nurse informs the mother that the child must have blood tests every week. The

mother asks why so many blood tests are necessary. Which complication is assessed through frequent

laboratory testing that the nurse should explain to this mother?

Myelosuppression

Rationale:

Myelosuppression isthe highest priority complication that can potentially affect clients managed with

carbamazepine therapy. The client requires close monitoring for this condition by weekly laboratory

testing. Hepatic function may be altered, but this complication does not have as great a potential for

occurrence as Myelosupression

A client is prescribed a cholinesterase inhibitor, and a family member asksthe nurse how this medication

works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug?

Improves nerve impulse transmission

Rationale:

Cholinesterase inhibitors work to increase the availability of acetylcholine at cholinergic synapses, which

aids in neuronal transmission and assists in memory formation.

A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL. How many

milliliters should be administered?

2.2 mL