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Carbamazepine has been prescribed for a client. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication?

1.Lipase level
2.Amylase level
3.Ammonia level
4.Complete blood cell (CBC) count

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Final answer:

A Complete Blood Cell (CBC) count is required periodically for clients taking carbamazepine to monitor for possible side effects on blood cells, such as a decrease in the number of white blood cells which can increase infection risk.

Step-by-step explanation:

For a client prescribed carbamazepine, a clinician will typically require regular Complete Blood Cell (CBC) counts. This test is crucial as it monitors the overall health and detects disorders including anaemia, infection, and other diseases. Particularly relevant to carbamazepine, a CBC can identify changes in blood counts such as white blood cell counts which can be affected by this medication.

Carbamazepine can induce enzyme systems in the liver leading to effects on blood cells; it necessitates careful monitoring through blood tests. The monitoring helps in early detection of possible side effects such as leucopenia (a decrease in the number of white blood cells), which could predispose clients to infections, or other blood dyscrasias (abnormalities). Therefore, informing the client about the need for periodic CBCs is part of managing and ensuring the safety of the carbamazepine treatment regimen.

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