« previous next »

Author Question: A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse ... (Read 30 times)

PhilipSeeMore

  • Hero Member
  • *****
  • Posts: 561
on: Jul 19, 2018
A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse explain to the patient as a result of possible drug interactions?
 
  1. Taking valproate with clozapine decreases the effect of valproate.
  2. Taking valproate with antacids can result in toxic levels of valproate.
  3. Taking valproate with aspirin can result in toxic levels of valproate.
  4. Taking valproate with lithium decreases the effectiveness of lithium.

Question 2

A patient is complaining of being unable to get to sleep. There is a PRN order for temazepam. What should the nurse do? Select all that apply.
 
  1. Check the PRN protocol.
  2. Assess the patient's need.
  3. Assess the patient's safety.
  4. Review the patient's diagnosis.
  5. Explore the patient's expectations.


jgranad15

  • Sr. Member
  • ****
  • Posts: 345
Reply #1 on: Jul 19, 2018
Answer to Question 1

Answer: 3
Explanation: Aspirin can increase the free concentration of valproate and result in toxic drug levels. Antacids, lithium, and clozapine have not been noted to have any significant interactive effect with valproate.

Answer to Question 2

Answer: 1, 2, 3
Explanation: The PRN order should specify the signs and symptoms, maximum daily dosage, and any specific instructions. The nurse should check the order and assess the patient's need and safety before administering any PRN medication. Although discussing expectations with the patient may be helpful, this is not a necessary part of PRN administration. Reviewing the patient's diagnosis is not part of the PRN protocol.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Patient with exophthalmos. Patient with exophthalmos.
Symptoms of a patient in shock Symptoms of a patient in shock
Comparison of Research Studies Exploring Nurse Caring Behaviors Comparison of Research Studies Exploring Nurse Caring Behaviors
Instructing the Patient in Collecting a Stool Specimen Instructing the Patient in Collecting a Stool Specimen
Classification of Antidepressants: Treatment of Major Depressive Disorder Classification of Antidepressants: Treatment of Major Depressive Disorder
Video: Role of the respiratory system - effect of altered ventilation rates

For a complete list of videos, visit our video library