The patient who is prescribed valproic acid (Depakene) for ...

[c0205847]

The patient who is prescribed valproic acid (Depakene) for seizure control would like to have a baby. Which statements should the nurse include in a discussion with this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Since your epilepsy may flare up during pregnancy, your doctor will likely have you take a second antiepileptic medication.
  2. Thankfully, most modern antiepileptic medications will not interfere with you getting pregnant.
  3. Your current antiepileptic medication should not be used when you are pregnant.
  4. Folic acid supplementation is important for you.
  5. You should consider adopting a baby instead since there are so many problems associated with epilepsy and pregnancy.

Question 2

The nurse is planning to teach a class on antianginal drugs to a group of patients who have experienced myocardial infarctions (MIs). The nurse includes which information in this class?
 
  1. These medications decrease how much oxygen your heart needs.
  2. These medications thin your blood so your heart receives more oxygen.
  3. These medications increase the amount of oxygen your heart receives.
  4. These medications increase oxygen to your heart by increasing nitric oxide production.

[Jadwiga9]

Answer to Question 1

3,4
Rationale 1: Since there are many side effects to antiepileptic medications, single drug therapy is the goal for pregnant patients.
Rationale 2: Women who have epilepsy have a reduced fertility rate, and some do not ovulate.
Rationale 3: Valproic acid (Depakene) is Pregnancy Category D.
Rationale 4: Folic acid supplementation is important for all women who are, or wish to become, pregnant. This is especially true of women who are epileptic because many antiepileptic medications cause folic acid deficiency.
Rationale 5: Women who are epileptic can and do conceive and deliver healthy babies. The nurse should not discourage this patient but should provide information to the patient and then support the patient's choice.
Global Rationale: Valproic acid (Depakene) is Pregnancy Category D. Folic acid supplementation is important for all women who are, or wish to become, pregnant. This is especially true of women who are epileptic because many antiepileptic medications cause folic acid deficiency. Since there are many side effects to antiepileptic medications, single drug therapy is the goal for pregnant patients. Women who have epilepsy have a reduced fertility rate, and some do not ovulate. Women who are epileptic can and do conceive and deliver healthy babies. The nurse should not discourage this patient but should provide information to the patient and then support the patient's choice.

Answer to Question 2

1
Rationale 1: The primary means by which antianginal drugs terminate an acute angina episode, or decrease the frequency of angina episodes, is by reducing the myocardial demand for oxygen.
Rationale 2: Antianginal medications do not have an anticoagulant effect.
Rationale 3: Antianginal medications cannot increase the oxygen supply to the myocardium.
Rationale 4: Antianginal medications do not increase nitric acid production.
Global Rationale: The primary means by which antianginal drugs terminate an acute angina episode, or decrease the frequency of angina episodes, is by reducing the myocardial demand for oxygen. Antianginal medications cannot increase the oxygen supply to the myocardium. Antianginal medications do not have an anticoagulant effect. Antianginal medications do not increase nitric acid production.

[c0205847]

TYSM

[bigsis44]

Excellent