A. Nurses' Notes Day 1: Client is seen by provider for routine follow-up after being started on oxcarbazepine 150mg PO twice a day, last week. Client reports no nausea, headache, dizziness, or ataxia. Provider increased oxcarbazepine to 300 mg PO twice a day. Client is to return for a follow-up in 2 weeks. Day 14: Client returns for follow-up after increasing oxcarbazepine dosage. Client reports starting to have mild headaches earlier this week. Also states, "Yesterday I was very nauseated and threw up before breakfast." When talking to client they have difficulty remembering the times they are taking their oxcarbazepine. Client reports using oral contraceptives as the only means of birth control. Laboratory Results Day 14: Hct 40% (37% to 47%) Hgb 13g/dL (12 to 16g/dL) Sodium 124 mEq/L (136 to 145 mEq/L) Vitals Signs Day 14: Temperature 36.3° C (97.4° F) Heart rate 86/min Blood pressure 110/66 mm Hg Respiratory rate 16/min

A. A client receives an antibiotic 30 min after the scheduled time.

B. A client receives regular insulin 1 hr after a meal.

C. A client refuses to get out of bed.

D. A client was scheduled to be discharged 2 hr ago.

A. Change the IV tubing at least every 6 hr.

B. Change the IV site dressing daily.

C. Disconnect the IV tubing when applying the client's gown.

D. Increase the client's IV infusion rate as needed.

A. Blood pressure

B. Temperature

C. Pain level

D. Respiratory rate