A 9-year-old diagnosed with leukemia is also being treated for epilepsy. The physician prescribes carbamazepine 100 mg PO twice per day. The nurse should question this order because:


•Carbamazepine causes bone marrow suppression. In a patient with leukemia, bone marrow suppression is already a concern, and the use of carbamazepine could worsen her condition.

•Carbamazepine is approved for the use in children, and this is an accurate dose.

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