Difficulty: Medium
Average Score: 91%
Simulated
Prior to administering the evening dose of carbamazepine, the nurse notes that the clientÔÇÖs morning carbamazepine level was 8.4 mcg/L (35.6 mcmol/L). Which action should the nurse take? Carbamazepine level [Reference Range: 4 to 12 mcg/mL or 16.9 to 50.8 mcmol/L]
Correct answer
C
Rationale
A carbamazepine level of 8.4 mcg/L is within the therapeutic range (4-12 mcg/mL), indicating safe and effective dosing. Administering the dose as prescribed maintains seizure control. Assessing side effects or notifying the provider is unnecessary without symptoms, and withholding risks subtherapeutic levels.