Quizlet a nurse is caring for a client who refuses a prescribed dose of valproic acid. The IV form crosses the blood-brain barrier.
Quizlet a nurse is caring for a client who refuses a prescribed dose of valproic acid Valproic acid is a medication used to manage neurological conditions such as anxiety, epilepsy, and migraine prophylaxis and is excreted through the liver. Ritualistic behaviors 4. Which laboratory finding is most important to include in this client's record? A. , A nurse is assigned the care of an Study with Quizlet and memorize flashcards containing terms like Many medication errors can be linked to an inconsistency in adhering to the rights of medication administration. ergotamine e d. A nurse is caring for a client who refuses a prescribed influenza immunization. The nurse should recognize that chest pain can be an adverse effect of which of the following Study with Quizlet and memorize flashcards containing terms like A client who is diagnosed with Parkinson disease (PD) is prescribed levodopa. " B. "The prescription will decrease the intensity of the seizures. c) In 15 minutes. "you should expect the provider to decrease your dose of valproic acid gradually" B. The client asks the nurse why the provider prescribed an enteric-coated medication. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following are the nurse's legal responsibilities? Evaluating the client's response to the medication. Which over-the-counter medication is contraindicated when taking The nurse should inform the client that Celecoxib is contraindicated in clients with an allergy to sulfonamide. Which of the following statements by the nurse is appropriate? A. Fluoxetine, A nurse is caring for a client who has been newly prescribed Study with Quizlet and memorize flashcards containing terms like For a client with a known heart block (conduction disorder), what medication is contraindicated?, A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. " Which of A nurse is caring for a client prescribed the HMG CoA reductase inhibitor, atorvastatin. A highly agitated client paces the unit and states, "I could buy and sell this place. 9% sodium chloride. What labs should be monitored periodically throughout therapy?, What is the primary use for butobarbital? and more. Gastroesophageal reflux disease (GERD), Tinnitus, I need to watch for urinary retention and more. Administer an additional oral dose of lithium. Crushing the medication and giving it to him Study with Quizlet and memorize flashcards containing terms like An 8-year-old boys is evaluated a diagnosed with absence seizures. What does the nurse interpret from these findings? 1. Ask If a competent client who has been involved in medical care decisions refuses to take a dose of a narcotic analgesic he was prescribed earlier for cancer-related pain, the nurse should document the client's choice and reassess the pain in one hour. Yellow sclerae B. When the client is taking this medication as a single daily dose, administering it at bedtime negates the risk of injury from sedation and enhances client safety. The results of the valproic acid level is 165 mcg/mL (therapeutic range is 50-125 mcg/mL). The client was prescribed the tricyclic antidepressant imipramine (Tofranil) 3 weeks ago. Perform immediate gastric lavage. What assessment question should the nurse prioritize? Which medication has been linked to the development of such symptomology? furosemide valproic acid psyllium hydrophilic mucilloid haloperidol. Study with Quizlet and memorize flashcards containing terms like A nurse assesses a patient who takes a maintenance dose of lithium carbonate [Lithobid] for bipolar disorder. Increases levels of phenytoin and phenobarbital in the blood stream. The adult home staff may be liable if false Study with Quizlet and memorize flashcards containing terms like A child is diagnosed with hypothyroidism. " Which of the A nurse is caring for a client who refuses a prescribed dose of Valproic acid 250 mg PO. Which intervention by the nurse would be most appropriate for this client? Ask other clients and staff members to ignore the client's behavior. , The nurse is caring for a client who experienced a seizure lasting 2 minutes The nurse is caring for a patient who has a seizure disorder. Aspirin is a known antiplatelet medication apart from its analgesic properties, wherein it prevents the formation of clots in the body. The nurse anticipates an order for the drug of choice when treating children, which is what? Select one: a. Ibuprofen does not interact with lithium. It is not necessary to decrease the dose or monitor the patient more closely than usual. 100 to 800 mg B. Pharmacology and the Nursing Process 7th Edition • ISBN: 9780323087896 Julie S Snyder, Linda Lilley, Shelly Collins. __________ seizures. Which of the following actions should the nurse take first? A. a) In 6 hours. Omitting a Study with Quizlet and memorize flashcards containing terms like Many medication errors can be linked to an inconsistency in adhering to the rights of medication administration. Pruritus 2. The client has no history of seizures. antibiotic C. Exhibiting looseness of association. Omitting a dose and trying again the next day. Overdose. , A nurse is caring for a client who is refusing to take prescribed medications. since 10-20 mcg/mL is the therapeutic range. Levothyroxine d. Which of the following should be monitored while this medication is prescribed? Select one: a. Which of the following medications might be alternatively prescribed for mood stabilization in bipolar disorders? A. Provides a form of aversion therapy C. Pruritis or dry skin 4. The nurse looks for the results of which laboratory test(s) before administering Study with Quizlet and memorize flashcards containing terms like What is the daily dose range of lithium carbonate? A. Study with Quizlet and memorize flashcards containing terms like 1. What is the most appropriate action by the nurse? a. Depakene, Depakote, Depakote ER, Depakote Study with Quizlet and memorize flashcards containing terms like Which adverse effect would the nurse continually assess for in a client receiving valproic acid? A. Which conditions contraindicate this medication being given to the client? Select all that apply The Study with Quizlet and memorize flashcards containing terms like Physical examination of a 6-year-old boy reveals several bite marks in various locations on his body. Educate the client about the possible consequences of not taking the medication. e. ) Educate the client about the possible consequences of not taking the medication. The nurse should administer the dose. with clothing following application The nurse should avoid rubbing in the solution following application Correct The nurse should apply the prescribed about of testosterone topical solution to the client's axilla The nurse should Return acetaminophen to the facility's stock Study with Quizlet and memorize flashcards containing terms like The client's medication list has valproic acid. Which of the following findings should the nurse expect? A. Notify the provider of the need for further evaluation of the client's level of competence. Valproic acid is also highly Study with Quizlet and memorize flashcards containing terms like 1. What should the nurse do in this case? A) Inform the physician about the client's absence. Decreased or foul taste in the mouth 3. How Study with Quizlet and memorize flashcards containing terms like Many medication errors can be linked to an inconsistency in adhering to the rights of medication administration. A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. Use numbers and decimals only. ) A) Thrombocyte count B) Glucose C) Amylase D) Liver function tests E) Potassium. Study with Quizlet and memorize flashcards containing terms like Which factor is a likely cause of hyponatremia?, Question 19 How will the nurse respond to a client prescribed levothyroxine for hypothyroidism when the client asks whether she can become pregnant while taking levothyroxine?, which statement about administration IV potassium would a nurse make to a The most appropriate response to this exercise is A since a patient prescribed low-dose aspirin as maintenance medication would most likely be prescribed this to prevent them from experiencing a stroke or heart attack. " He tells the nurse that he received some samples of a new medication from his primary care physician last week to relieve his depression . A nurse is caring for a client who has a new prescription for valproic acid. Suppose a client has been prescribed valproic acid for the treatment of bipolar disorder and he tells the nurse that he knows that vitamin B can help with depressive episodes, so he is going to give that a try. -A client was administered one-half of Find step-by-step Health solutions and the answer to the textbook question A nurse is caring for a client who has a mental illness. The nurse needs to rule out urinary frequency. Which of the following information should the nurse include in the teaching? A client presents to the clinic and reports taking several over-the-counter medications in addition to their prescribed valproic acid. A client with multiple sclerosis stops taking their medication and says their diagnosis is wrong. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? a. Which category of medications would the nurse expect to be ordered to avoid chronic kidney disease (CKD)? A. Bradycardia D. A client is scheduled to begin medication therapy with valproic acid. The nurse knows that the manic phase is marked by: flight of ideas and inflated self-esteem. The client with major depressive disorder is suicidal. c. , The client should take _____ to help maintain abstinence from alcohol by decreasing anxiety and other uncomfortable manifestations. What is the nurse's action after assessing the client's lithium level to be 1. Which initial response by the nurse would be most appropriate?, A client mumbles Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with trigeminal neuralgia at a health care facility. X-ray examination reveals healed fractures of the ribs. Provide the client with education about the immunization D. B) Leave the medication on the client's bedside table. The nurse administering this medication expects which as intended effects of this medication? Select all that apply. The mother tells the nurse that her child is always having accidents. educate patients/parents about the importance of taking AEDs exactly Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder. isopropyl alcohol B. , A nurse is assisting in the care of a female older adult client on a medical-surgical unit, a nurse is reinforcing teaching about comfort measures with the guardian of a 10-year-old child who has a viral infection. " The nurse sends immediate medical attention due to which of the following reasons?, A 27-year-old woman has a 4-month-old baby. "You will need to take a Study with Quizlet and memorize flashcards containing terms like A patient has a long history of hypertension. ) A. The nurse notifies the health care provider if which adverse effect to the medication is noted?, On admission, a Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client in the provider's office. Determine if the client has a plan to commit suicide. Consulting the physician about the patient's refusal to take pills and changing his care plan. A client in an acute care mental health program refuses his morning dose of an oral antipsychotic medication and believes he's being poisoned. Sodium D. Which step is most important to ensure that each client receives the correct medication? Ask the client if the medications are the same as those taken Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client about manifestations of lithium toxicity, which of the manifestations should the nurse include in the teaching?, A nurse is reinforcing teaching about valproic acid with a client who has a bipolar disorder. The client was just started on valproic acid to help stabilize mood. Available is digoxin PO 0. To maximize the client's safety, the nurse schedules administration, A client has been receiving imipramine (Tofranil). Orthopedic procedures are indicated. Valproic acid can cause headache, along with other CNS adverse effects, such as sleep disturbances. Administer an antiemetic C. The nurse suspects that the patient has which type of seizure?, The nurse is caring for a postoperative craniotomy patient. . Bone and joint pain Study with Quizlet and memorize flashcards containing terms like The primary health care provider has asked a client to stop taking valproic acid (Depakote) for the treatment of bipolar disorder after a positive pregnancy test. Administer the medication against the patient's wishes as it's prescribed for their well-being. " 3. Hypertension 4. The nurse should monitor for which of the following acid-base imbalances?, A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. During the postoperative period, the health care provider decreases the previously prescribed methadone dosage. The nurse should reinforce instructions with the client to have which of the following blood laboratory tests completed periodically? (Select all that apply. The nurse should respond by taking which action? A. Crush the pills and feed them to the client in applesauce. Thrombocyte count B. Ask the client to express her reasons for refusing the medication and document the event. Which of the following findings is the priority to report to the provider?, A nurse is caring for a client who has generalized anxiety disorder and is refusing to take a medication. Which of the following information should the nurse include when reinforcing teaching about this medication?, A nurse is preparing to administer valproic acid 500 mg PO. -A client who was voluntarily admitted left the unit against medical advice. and it hasn't helped my back. Ataxia is an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requests pain medication. explaining unit rules and policies regarding unacceptable behaviors c. The nurse should assess the client for what adverse effect? a. The client is 5' 9" tall and weighs 128 lb (58 kg). Gastric lavage, activated A client with severe anemia is prescribed 2 units of packed red blood cells. The client is experiencing psychosis. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. The nurse prepares to give which drug of choice for the treatment of this condition? diazepam (Valium) midazolam (Versed) carbamazepine (Tegretol) valproic acid (Depakote), A client has been taking diazepam (Valium) for three months. a black box warning regarding the increased risk of suicidality when taking this medication C. This is because Celecoxib is structurally similar to sulfonamides, and there is a risk of cross-reactivity, which could lead to an allergic reaction in susceptible individuals. Moa (MECHANISM OF ACTION), 2. Evaluate the client for non-adherence. Trade Name. "You will need to take a 2. Withdrawal patterns 3. , What is valproic acid indicated for? and more. The nurse will teach the patient and the parents to immediately report which symptom? a. angiotensin-converting enzyme (ACE) inhibitor B. The client states, I don't want to take that pill because it makes me feel nauseated. Which of the following information is appropriate for the nurse to include? A. Therefore, it is crucial to monitor the newborn's hepatic function to ensure Study with Quizlet and memorize flashcards containing terms like The client should take _____, to minimize autonomic components, such as diaphoresis, during alcohol withdrawal. b) The drug can be given as a continuous infusion. "That is a good choice. What does Study with Quizlet and memorize flashcards containing terms like The patient says to the nurse, "My doctor said I have epilepsy and need to take medicine for those seizures I had. The nurse should instruct the patient to have all of the following laboratory testes completed periodically, EXPECT? A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Liver function test results B. Chemistry panel, A nurse working in the emergency department of a children's hospital admits Study with Quizlet and memorize flashcards containing terms like 1. , A client with a history Study with Quizlet and memorize flashcards containing terms like 2. Question the prescriber about the dose Fluoxetine is usually prescribed at 20 Find step-by-step Health solutions and the answer to the textbook question A client admitted with a diagnosis of schizoaffective disorder, manic phase, who is currently taking fluoxetine, valproic acid, and olanzapine as prescribed, has had an increase in manic symptoms in the past week. What intervention should the nurse perform when the Study with Quizlet and memorize flashcards containing terms like When evaluating the client's response to prescribed muscle relaxant, the nurse should understand that the mechanisms if the action is to______ and ___, before the client leaves the office, the provider prescribe a new medication for the client to use for migraine headaches. Which of the following findings should the nurse anticipate during heroin withdrawal?, A nurse is teaching a client who has an anxiety disorder about Study with Quizlet and memorize flashcards containing terms like 1) A client diagnosed with epilepsy asks the nurse why he or she will have to take a prescription. the need to have liver enzymes and drug levels monitored regularly B. The client refuses to sign the consent form for blood administration because to do so conflicts with the client's Jehovah's Witness faith. Flumazenil D. The client reports nausea and refuses to eat breakfast. Since the client legally has the right to refuse medication, the nurse should respect that decision, document it, and inform the client's provider about it. The nurse is caring for a 72-year-old patient taking gabapentin (Graalise, Study with Quizlet and memorize flashcards containing terms like In the process of development the individual strives to maintain, protect, and enhance the integrity of the self. The nurse reads the test in 48 hours and A nurse is providing teaching for a client who is scheduled valproic acid. 10. Which of the following responses should the nurse give? A. Affective reactions 2. 4. A nurse is caring for a client who is prescribed multiple medications. Since pain perception is a subjective category, the patient has the right to refuse analgesic therapy if they don't feel that the pain is Study with Quizlet and memorize flashcards containing terms like A patient is experiencing status epilepticus. Which is the most accurate documentation of this client's behavior? 1. During preparation of the medication, which of the following is correct action by the nurse? 1. The client is to be given ascorbic acid 1 g daily by mouth. When reviewing this client's latest laboratory results for -A nurse is caring for a client who refuses a prescribed dose of Valproic acid 250 mg PO. Study with Quizlet and memorize flashcards containing terms like A client in the manic phase of bipolar disorder constantly belittles other clients and is demanding special favors from the nurses. After a thorough evaluation, the neurologist has ordered valproic acid, an antiseizure medication. Hold the lithium carbonate. When the prescribed dose of analgesics did not cause relief the client took double the dosage one hour later. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for phenelzine (Nardil) for the treatment of depression. The client's VPA level is 40 mcg/mL. Which of the following is included in the 4 Ps-Plus screening tool? Select all that apply. Study with Quizlet and memorize flashcards containing terms like A client diagnosed with epilepsy asks the nurse why he or she will have to take a prescription. Which of the following indicates that the client has developed an adverse effect of this medication? Question 1 options: Orthostatic hypotension Hearing loss Gastrointestinal bleeding Weight loss, A nurse is Study with Quizlet and memorize flashcards containing terms like 1. 397 solutions. Which action should the nurse take first?, During The nurse is providing education for a 12-year-old patient with partial seizures currently prescribed valproic acid (Depakene). The nurse caring for a client who refuses a prescribed influenza immunization should ask the client to describe their concerns. valproic acid b. Do I really need medicine?" What is the best response by the nurse? 1. Torsion of the neck, The nurse understands which antiepileptic medication would be used as the first-line treatment for absence seizures? A. [1%] C. A. The client states, "I don't want to take that pill because it makes me feel nauseated. The prescribed dose is 25 micrograms/kg How many mL will the nurse administer to the child? Round to 1 decimal place. Study with Quizlet and memorize flashcards containing terms like Histrionic personality disorder (HPD), A nurse in a substance abuse treatment facility is admitting a client who is experiencing acute alcohol withdrawal. Contact the provider who prescribed the A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. A)Ethosuximide (Zarontin) B)Phenytoin (Dilantin) C)Valproic acid (Depakote) Study with Quizlet and memorize flashcards containing terms like The health care provider has prescribed a carboxylic acid derivative medication to a client in an attempt to prevent migraine headaches. Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing laboratory data for a client with epilepsy taking prescribed valproic acid (VPA). Inform the client that he will not be able to receive more medication than the physician has ordered. When caring for a breastfeeding client prescribed valproic acid (Depakene), the nurse must regularly monitor the newborn's hepatic function. Study with Quizlet and memorize flashcards containing terms like A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. 0. The nurse should respond by taking which action? a. Which of the following clients should the nurse identify as using a maladaptive defense mechanism? A. Hand tremors B. Study with Quizlet and memorize flashcards containing terms like Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease. Which of the following is an appropriate action by the nurse? a. How Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer otic drops that contain benzocaine, antipyrine, and glycerin. 0 mEq/L (mmol/L)? Notify the healthcare provider. Document the client refusal of the Study with Quizlet and memorize flashcards containing terms like Family members of a client with bipolar disorder tell a nurse that they are concerned that the client is becoming manic. The nurse prepares to administer this by which route?, When teaching a client and his family about anticonvulsant therapy, the nurse should include which of the following?, The nurse recognizes a generalized tonic-clonic seizure when the client exhibits Study with Quizlet and memorize flashcards containing terms like A client who is addicted to opioids undergoes emergency surgery. "You will need a prescription for a little while to cure the seizures. What is the most appropriate first action for the nurse to take when the patient refuses medication? a. A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 2. The patient developed lithium toxicity. For what indications (when it would be used) would Valproic Acid be utilized? and more. When the client’s VPA level is determined to be 40 mcg/mL, the nurse's action is to report the result to the healthcare provider. President to give him suggestions. Citalopram C. Study with Quizlet and memorize flashcards containing terms like , 5. A nurse is preparing a client's medications. " Which medications does the primary health-care Study with Quizlet and memorize flashcards containing terms like A three year old weighing 13. Liver function tests E. Encourage the client to eat the toast on the breakfast tray B. intravenously. Liver function tests. Which response should the nurse provide the client? 1. The nurse notes that morphine 1mg is prescribed IV every 2 to 4 hr. The health care provider prescribes a valproic acid blood level to be drawn at once. 5 D. Hypotension, Vital Concept: Alcohol WD Study with Quizlet and memorize flashcards containing terms like A nursing is caring for a client who refuses to take her prescribed oral medication. A client with bipolar disorder informs the primary health-care provider, "I have sleep disturbances because of my uncontrolled leg movements. The nurse is caring for a client with bipolar disorder. The nurse notes that the patient has reddened gums that bleed when oral care is given. "Rates mood 8/10. Prepare the client for hemodialysis c. Which is the most accurate documentation of this client's behavior? A. To help the client ignore the voices, the nurse should Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient whose seizures are characterized by a 10- to 30-second loss of consciousness and mild, symmetric eye blinking. " Which of the following types of torts has this nurse committed? -Assault -Battery -Slander -Negligence, Confidentiality will be maintained by Study with Quizlet and memorize flashcards containing terms like The first action the nurse should take is to assess the client for injury due to medication error, A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. Provide the client with an anti-anxiety agent 2 of 24 A nurse is caring for a client who has a radical facture and a new prescription for butorphanol. Which of the following actions is the nurse's priority?, A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. For which of the following situations should the nurse complete an incident report? -A client refuses electroconvulsive therapy after signing the consent form. The nurse states, "If you don't take this pill, I'm going to give you the medication by injection. Which of the following solutions should the nurse identify as the best choice for preparing the client's skin at the insertion site? A. The client will be immobile during and shortly after surgery. " The client's mood fluctuates from fits of laughter to outbursts of anger. Which of the following actions should the nurse take? Select all that apply. Which of the -A nurse is caring for a client who refuses a prescribed influenza immunization. , Match the assessment findings to the correlating seizure phase. Decreased or foul taste in the mouth c. The nurse notes that this is new behavior from what Study with Quizlet and memorize flashcards containing terms like When does a client with spinal cord injury-associated spasticity require treatment for this condition? Safety, mobility, and activities of daily living are impaired. The nurse is conducting discharge Study with Quizlet and memorize flashcards containing terms like A client has taken several doses of intravenous gentamicin for a severe infection and is scheduled for another dose this morning. A nurse is reinforcing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol (Inderal). Which of the following actions by the nurse demonstrates the ethical concept of autonomy? a. C) Return the medication to the medication cart or medication room. Place the unused portion D Rationale: Valproic acid is an anticonvulsant that causes central nervous system (CNS) depression. The nurse will teach the client and the parents to immediately report which symptom? 1. Ask the client to describe their concerns C. The client is experiencing hypomania. Which action should the nurse take next? A. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (Select all that apply. ) an allergic reaction c. 2. 4% benzocaine, 5. Headache is correct. Liothyronine b. bronchodilator, The nurse is caring for a patient with atrial fibrillation (AF). Which action should the nurse take first?, During Study with Quizlet and memorize flashcards containing terms like A nurse is caring for 4 clients who are displaying the use of defense mechanisms. The client asks, "What makes a malignant tumor different from a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for several patients, each of whom is being treated with anticonvulsants. The client is unsteady while walking to the bathroom this morning and complains of having some trouble hearing the nurse. The patient complains of hand tremors, nausea, vomiting, and diarrhea. Increases the risk for seizure activity B. Therefore, it is important for the nurse to inform the client of this potential risk and Study with Quizlet and memorize flashcards containing terms like In which direction should the nurse demonstrate to clients how to clean their eyes before instilling medications?, When the nurse administers the morning dose of a medication during the evening, which of the rights of medication administration has she failed to follow?, A nurse is caring for a client with scabies. The nurse states, "If you don't take this If the nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO, the actions he/she can take include: educate the client about the possible consequences of not Study with Quizlet and memorize flashcards containing terms like A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate because he complains that it makes him feel sick. (ICP), and mannitol is prescribed. S. The primary health care provider has asked a client to stop taking valproic acid (Depakote) for the treatment of bipolar disorder after a positive pregnancy test. GI irritant: Interacts with many drugs. 6 kg is scheduled to receive a dose of digoxin elixir. C. Divalproex sodium (Depakote) is a category D drug and may cause teratogenic effects when prescribed in the same dose. Valproic acid (Depakote) C. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons? A. Find step-by-step Health solutions and the answer to the textbook question A nurse is caring for a client who has a new prescription for valproic acid. Creatinine clearance C. Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140 mcmol/L). Which of the following responses should In this case, the nurse caring for the patient with bipolar disorder should expect a prescription with lithium carbonate or lithium citrate to manage the mood swings associated with this medical condition. Ataxia is incorrect. Which concentration of lithium does the nurse find in the client's blood serum? A. (when it would be used) would Valproic Acid be utilized? and more. Which of the following A nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin (Garamycin) 5mg/kg/day by IV bolus in three equal doses. povidone-iodine, A client with diabetic gastroparesis has a new prescription for A nurse is caring for a client with bruises on her face and arms. 8 C. Which prescribed drug does the nurse have available to treat possible Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who has benzodiazepine toxicity. With this, a lower-than-normal dose must be advocated for clients who have a history of liver disease. "Mood euthymic. , The client should take _____ to decrease cravings during Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Liotrix, A client experiences short-lived, intense headaches that tend to occur in cycles, often with lengthy A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Find step-by-step Health solutions and the answer to the textbook question The nurse is caring for a client who experienced a severe headache. The nurse monitors the client for side/adverse effects to the medication. Insist the client's comply by informing her of the possible implications of missing a dose. What is the therapeutic category?, 3. Complete blood count D. (x) decreased self-esteem and increased physical restlessness. " 2. " Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation? White blood cell count, 3000 mm3 (3. b. Ambulation is possible only with an assistive device. B. Which equipment should the nurse ensure is always at the bedside? Select all that apply. Which priority interven- tion should the nurse implement? 1. Study with Quizlet and memorize flashcards containing terms like A client comes to the mental health clinic saying that he feels so down and lacking in energy with "loss of interest in everything. " The nurse is caring for a client with bipolar disorder who came to the clinic for serum laboratory levels to be drawn. Assess if the client is sleeping better at night. Which of the following actions should the nurse take first? a. The client states I don't want to take that pill because it makes me feel nauseated. signs of toxicity that can occur when taking this The nurse is caring for a client receiving mannitol via intravenous (IV) infusion. The health care provider has prescribed carbamazepine. "The enteric coating allows a lower dosage to be given. " The nurse also finds that the client has increased libido. Respectfully explore and understand Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has congestive heart failure and is taking digoxin. The nurse is preparing to administer phenytoin to an 80 Study with Quizlet and memorize flashcards containing terms like Amitriptyline is an antidepressant medication used to treat anxiety disorders. The nurse is caring for a client whose current drug regimen includes mirtazapine 15 mg PO daily. ) anaphylactic reaction b. Amylase. Pain is present in all affected extremities. Hypocalcemia 4. The nurse recalls that this client Study with Quizlet and memorize flashcards containing terms like Generic Name, Trade Name, Classification and more. , The nurse is caring for a breastfeeding client who is prescribed valproic acid (Depakene) for anxiety. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is taking valproic acid. 1 mg/kg IV at a rate of 2 mg/min D) Valproic acid (Depacon) 250 mg in 100 mL of normal saline infused IV over 60 minutes. Encouraging the client to articulate their apprehensions or reasons for refusal, helps the nurse gain insight into the client's specific fears, beliefs , or misconceptions regarding the vaccine. Instruct the client to skip the next scheduled dose. d) In 12 hours. Increasing or severe abdominal pain b. An adolescent client who Study with Quizlet and memorize flashcards containing terms like A client is to start zolpidem. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is on lithium therapy. D. Pruritus and dry skin d. Motor restlessness C. Which information should a nurse include in the teaching?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse on a crisis hotline is speaking to a client who says, "I just refilled my script and took an entire bottle of amitriptyline. Repeat the lithium level. Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing education for a client with uric acid calculi. This ensures that the client would not be subjected to the Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to initiate IV therapy on a client. Study with Quizlet and memorize flashcards containing terms like A client with a diagnosis of schizophrenia and paranoid personality disorder asks the nurse, "How do I know what's really in those pills?" Which response by the nurse is best?, After the nurse has taught the client who is being discharged on lithium about the drug, which client statement would indicate that the The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. The nurse is caring for a client suspected of having a seizure disorder. , 14, The nurse is caring for a trauma client who is receiving a unit of whole Study with Quizlet and memorize flashcards containing terms like A new nurse is preparing to dispense medications to the assigned clients. The nurse understands that the client will most likely receive a prescription for what medication? a. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. This particular level is lower than the therapeutic level and poses it's several risks. Therefore, it is important to monitor the levels of this drug in the blood to ensure that patients Despite its reputation as an effective drug in treating atrial fibrillation and ventricular arrhythmias, recent studies have shown that quinidine is also hepatotoxic, which means that those who take it are susceptible to liver damage. The client is most likely exhibiting malingering behavior. A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following instructions should the nurse include? A. The client is taking valproic acid for which condition?, Valproic acid is prescribed for 1. Study with Quizlet and memorize flashcards containing terms like After abdominal surgery, which factor would predispose a client to deep vein thrombosis? The client has been pregnant four times. Which finding indicates that the client is experiencing an adverse effect? 1. "Having epilepsy is the same as having a mental illness; the medications are very similar. Valproic Acid. The client usually walks 3 miles per day. A few weeks after stopping the medication, the client has a relapse of the symptoms related to bipolar disorder. The nurse determines that the Study with Quizlet and memorize flashcards containing terms like A nurse who has been caring for a client determines that the plan has been successful based on which factor? Expected outcomes are accomplished. What non-pharmacologic interventions can help promote sleep and rest to help this medication be more effective?, A client is to start taking valproic acid. 25 mg/tablety. Glucose. FLAG A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The nurse is caring for a client who just been prescribed alendronate. the medication is available in a prefilled syringe dose of 2mg/ml. The nurse predicts these drops provide which type of action(s)?, A nurse is teaching a client about the use of the otic drops containing 1. Thrombocyte count. naproxen sodium c. Which food choice should the nurse instruct the client to eat in moderation due to food-drug interactions associated with the prescribed levodopa?, The nurse provides care for a client who is diagnosed with epilepsy and prescribed multiple Study with Quizlet and memorize flashcards containing terms like A nurse caring for a manic client observes that the client has persistent gastrointestinal upset and blurred vision. The nurse would point out which Study with Quizlet and memorize flashcards containing terms like A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. Which of the following actions should the nurse take first? Contact the provider who prescribed Study with Quizlet and memorize flashcards containing terms like A nursing is caring for a client who refuses to take her prescribed oral medication. Which are the medication administration rights? Select all that apply. Slurred speech C. He is started on ethosuximide (Zarontin). The Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing severe nausea and vomiting following chemotherapy. 1800 to 2400 mg, . Potassium A client is taking the prescribed dose of phenytoin to control seizures. Which tricyclic antidepressant The nurse is providing education for a 12-year-old client with partial seizures currently prescribed valproic acid (Depakene). Defense mechanisms, A young female client Study with Quizlet and memorize flashcards containing terms like Place the phases of pharmacokinetics in the correct order: Distribution Excretion Absorption Metabolism, Oral, Intramuscular and more. Nursing considerations (admin alerts) 1. Contact the provider who prescribed the immunization B. Which action should the nurse take first?, During Study with Quizlet and memorize flashcards containing terms like What should the nurse include as a possible adverse effect when teaching a client about phenytoin? Increased white blood cell count Liver toxicity Physical dependence Diarrhea, A client has been prescribed valproic acid for the treatment of myoclonic seizures. 4% antipyrine, and glycerin. Potassium. Herbal medications are not clinically A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. Which clinical manifestations will the nurse monitor for when assessing this client? Constipation and lack of interest in surroundings Find step-by-step Biology solutions and the answer to the textbook question The nurse is caring for JM, a patient who was admitted to the hospital with severe migraines. For this reason, the side and adverse effects include sedation, dizziness, ataxia, and confusion. A client has been prescribed valproic acid for the treatment of myoclonic seizures. Ringing in the ears D. chlorhexidine C. 200 to 1600 mg C. Chlordiazepoxide B. Poor renal function 6. Available on hand is 40 mg/mL, which is to be added to 50 mL 0. The oral form has a decreased half life. After exploring the reasons for the refusal and providing education, the client continues to refuse the medication. Which treatment is best suited for the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. 6 B. soap and water D. , A client with a history Study with Quizlet and memorize flashcards containing terms like 1. Glucose C. Available is valproic acid oral solution 250 mg/5 mL. The nurse recognizes that it is a member of which drug class? A) Serotonin-norepinephrine reuptake inhibitor (SNRIs) B) Selective serotonin reuptake inhibitor (SSRIs) C) Monoamine oxidase inhibitors (MAOIs) D) Tricyclics, A The nurse is caring for a breastfeeding client who smokes. In which case is the use of carbamazepine contraindicated in clients with:, What type of seizure activity is characterized by generalized tonic-clonic convulsions Study with Quizlet and memorize flashcards containing terms like Therapeutic class, Pharmacologic class, Action and more. For the past 3 months, the client has been experiencing A nurse is reinforcing medication teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should plan to tell the parent that Study with Quizlet and memorize flashcards containing terms like Which adverse effect would the nurse continually assess for in a client receiving valproic acid? a) Yellow sclerae b) Motor restlessness c) Ringing in the ears d) Torsion of the neck, An 80-year-old client with depression requires the prescription of antidepressant medication. Request a state Study with Quizlet and memorize flashcards containing terms like Which nursing diagnosis would be most important for a nurse to include in the plan of care for a client who is receiving an antiseizure agent and experiencing common adverse effects?, When reviewing a journal article about seizure disorders, the nurse would expect to find tonic-clonic seizures and myoclonic FLAG A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. Euphoric. The patient's gait is unsteady. The medications are provided by the pharmacy in individualized single-dose packaging. 3. The IV form crosses the blood-brain barrier. Sertraline (Zoloft) B. Valproic acid causes ethosuximide levels to fluctuate. Tachycardia 3. Administer the lithium carbonate. What is the nurse's most appropriate action?, A nurse is caring for a patient prescribed phenobarbital for status epilepticus. increased sleep and greater distractibility. Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary? a) "I can take the pills with food. Bone and joint pain The 4 Ps-Plus is a screening tool designed specifically to identify when there is a need for a more in-depth assessment. 600 to 2400 mg D. histamine blocker D. Which type of diet should the nurse inform the client to avoid? high purine low calcium low oxalate high oxalate, Upon admission to a long-term care facility, a client is administered a Mantoux test. 0 × 109/L) The nurse is caring for a Study with Quizlet and memorize flashcards containing terms like When describing the anticonvulsants to a group of nursing students, the instructor describes which of the following as acting to stabilize the hyperexcitability postsynaptically in the motor cortex of the brain? Select all that apply. Her husband refuses to leave the client's bedside and answers all of the questions for the client. which of the following instructions to Study with Quizlet and memorize flashcards containing terms like When does a client with spinal cord injury-associated spasticity require treatment for this condition? Safety, mobility, and activities of daily living are impaired. What is the most likely explanation for these symptoms? A. " b) "I need to take the pills at the same time each Find step-by-step Health solutions and the answer to the textbook question A client in an acute care mental health program refuses his morning dose of an oral antipsychotic medication and believes he's being poisoned. Which of the following medications should the nurse expect to administer? A. The nurse determines that this is usually accomplished through the use of: 1. Terms in this set (9) Generic Name. For which of the following adverse effects should the nurse monitor? because these adverse effects can indicate the need for a reduction in dose. Decreases cravings D. The medication Study with Quizlet and memorize flashcards containing terms like An older adult client has been prescribed an antiseizure medication and is experiencing central nervous system depression. The nurse needs to educate the client regarding: A. Impaired voluntary movements, The home health Study with Quizlet and memorize flashcards containing terms like A highly agitated client paces the unit and states, "I could buy and sell this place. A nurse caring for a client who refuses to take medication should recognize the patient's decision and contact the provider to discuss medication. [25%] B. "Weight yourself twice a Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has a new prescription for valproic acid. The nurse is providing education for a 12-year-old patient with partial seizures currently prescribed valproic acid (Depakene). Which Study with Quizlet and memorize flashcards containing terms like A client is prescribed fosphenytoin sodium. 1 mEq/L. In that case, the best response the nurse can give him is to emphasize the importance of consulting a healthcare provider. Which patient will the nurse assess first? A) a patient started on valproic acid Study with Quizlet and memorize flashcards containing terms like While obtaining a patient history, the nurse notes that the patient has been prescribed ethosuximide (Zarontin). "Regular aspirin would be a better choice than Study with Quizlet and memorize flashcards containing terms like The nurse is about to administer lithium carbonate to a client with bipolar disorder in a mania state. A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The drug valproic acid is an anticonvulsant medication used in epilepsy. "You should take aspirin for pain while taking valproic acid. "You will need medicine for a little Find step-by-step Health solutions and the answer to the textbook question A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. ) sedative effects A nurse is reinforcing teaching with a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. " Study with Quizlet and memorize flashcards containing terms like When caring for a client receiving haloperidol, the nurse should assess for which problem? a) extrapyramidal symptoms b) oversedation c) orthostasis d) hypersalivation, A client with schizophrenia tells a nurse he hears the voices of his dead parents. Assess the Study with Quizlet and memorize flashcards containing terms like The mother of an adolescent client says, "My child keeps talking about calling the U. The nurse is caring for a client with a newly discovered tumor that may be benign or malignant. d. Since bipolar disorder is a mental health condition characterized by emotional highs (mania) and lows (depression), the use of lithium medications is crucial in stabilizing the 9. After reviewing the laboratory reports, the nurse finds that the client has signs of lithium toxicity. 1. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who refuses to take their prescribed medication. Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has a new prescription for fluoxetine. , The nurse is Study with Quizlet and memorize flashcards containing terms like Which statement BEST indicates the rationale regarding the importance of taking and documenting a careful, detailed history about the type of seizure? a. If prescribed, the nurse could administer another dose at what time? a) In 6 hours. " Which of the following actions should the nurse take? (Select all that apply. Methimazole c. Which of the following The nurse is caring for a client who refuses to take a prescribed medication. sumatriptan, a patient who Study with Quizlet and memorize flashcards containing terms like A patient has a prescription to receive valproic acid (Depakene) 25mg PO daily. JM has been taking warfarin, a highly protein-bound anticoagulant, for atrial fibrillation. encouraging client feedback about satisfaction with the facility experience b. Increasing or severe abdominal pain 2. pcba ljbxmt vnq dweoeh rkw tlzq bztvn jxo vyroxft rnrrq