A client taking carbamazepine reports a sore throat and chills. What should the nurse do?

When a client taking carbamazepine reports symptoms such as a sore throat and chills, it's crucial for the nurse to act promptly and report these symptoms to the primary health care provider right away. Carbamazepine can lead to serious side effects, including agranulocytosis, which is a potentially life-threatening condition characterized by a dangerously low level of white blood cells. Symptoms like a sore throat and chills may indicate a possible infection or a severe hematologic reaction.

By choosing to call the primary health care provider, the nurse ensures that the client receives timely evaluation and management. This proactive approach allows for appropriate interventions to be initiated if necessary, which could include ordering blood tests or adjusting the client's medication regimen to prevent further complications. This response prioritizes patient safety and is consistent with best nursing practices regarding monitoring for adverse effects of medications.