Difficulty: Medium
Average Score: 85%
Simulated
The nurse is assessing a client taking prescribed lamotrigine. Which client finding requires immediate follow-up?
Correct answer
B
Rationale
Skin blistering is a serious adverse effect of lamotrigine, potentially indicating Stevens-Johnson syndrome or toxic epidermal necrolysis, both life-threatening conditions requiring immediate medical attention. Abnormal dreams, dyspepsia, and xerostomia are less severe side effects that do not typically require urgent follow-up.