A patient taking lamotrigine develops a spreading skin rash with blisters and painful mouth ulcers. Which nursing action is the priority?

Correct answer: B. Withhold the medicine and notify the prescriber urgently

  • A. Give the next dose with food
  • B. Withhold the medicine and notify the prescriber urgently
  • C. Apply moisturising lotion and reassess tomorrow
  • D. Encourage extra fluids and continue treatment

Explanation

A blistering rash and mucosal ulcers may indicate Stevens-Johnson syndrome, a life-threatening reaction associated with lamotrigine. The medicine should be withheld and urgent medical assessment arranged; continuing it can worsen the reaction.

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