A patient taking valproic acid for management of a seizure disorder has a trough serum drug level drawn. Which laboratory result would prompt the nurse to ask the patient about the adequacy of the medication supply and daily dosing routines?
1. 110 mcg/mL
2. 24 mcg/mL
3. 120 mcg/mL
4. 75 mcg/mL
Question 2
A patient has taken phenytoin for 2 months. The patient is concerned about the different appearance of the capsules in the most recent prescription. The nurse verifies the label and dosage. What is the next action?
1. Have the patient discard the medication and obtain a new prescription.
2. Inform the patient that the prescription is correct and that different brands have been found to be equally effective.
3. Inform the patient, You should consistently receive the same formulation to maintain a constant blood level.
4. Instruct the patient to report the pharmacist who filled the prescription for misconduct.
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