Author Question: A client is prescribed valproic acid for seizure control. The client's current serum level of ... (Read 40 times)

ereecah · **on:** Jul 24, 2018

A client is prescribed valproic acid for seizure control. The client's current serum level of valproic acid is 130 mcg/mL. The nurse should:

a. administer a stat dose to the client now as prescribed for low level of drug.
b. notify the health care provider immediately.
c. plan to administer the client's next dose.
d. have the laboratory redo the blood test.

Question 2

An eight-year-old child is prescribed oxcarbazepine. The child weighs 66 pounds and the safe recommended dosage range for oxcarbazepine is 8-10 mg/kg. What is the safe dosage range for this child?

a. 240-300 mg c. 480-500 mg
b. 320-400 mg d. 528-660 mg

zacnyjessica · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B

Feedback
A Incorrect: The normal serum level of valproic acid is 50-100 mcg/mL so the client shouldn't receive a stat dose, as this is a high level.
B Correct: The health care provider should be notified immediately.
C Incorrect: This is a high serum level, so the nurse should not plan to administer the next dose.
D Incorrect: This is not an appropriate nursing action.

Answer to Question 2

ANS: A

Feedback
A Correct: 66 pounds divided by 2.2 = 30 kg X 8 = 240 mg; 30 kg X 10 = 300 mg.
B Incorrect: This is too high a dose.
C Incorrect: This is too high a dose.
D Incorrect: This is too high a dose.