Author Question: A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse ... (Read 33 times)

PhilipSeeMore

  • Hero Member
  • *****
  • Posts: 561
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
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
 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

The horizontal fraction bar was introduced by the Arabs.

For a complete list of videos, visit our video library