« previous next »

Author Question: A parent of a child who has been taking valproic acid (Depakote) for several years calls the clinic ... (Read 116 times)

bio_gurl

  • Hero Member
  • *****
  • Posts: 524
on: Jul 23, 2018
A parent of a child who has been taking valproic acid (Depakote) for several years calls the clinic to report a recent recurrence of seizures and states that the child is having 3 or 4 seizures per week. The nurse will perform which action?
 
  a. Ask the parent about to describe the child's drug regimen.
  b. Request an order for a serum valproic acid level.
  c. Suggest that the parent take the child to the emergency department.
  d. Tell the parent that the provider will increase the child's dose of Depakote.

Question 2

The nurse provides teaching for a patient who will begin taking phenytoin. Which statement by the patient indicates understanding of the teaching?
 
  a. If I develop a rash, I should take diphenhydramine to control the itching.
  b. If I experience bleeding gums, I should stop taking the medication immediately.
  c. I may develop diabetes while I am taking this medication.
  d. I should not be alarmed if my urine turns reddish-brown.


durant1234

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Questions pertaining to medication adherence are a no-cost, non-invasive way of troubleshooting cause of decreased drug effect. The serum drug level will be assessed next. Children may need changes in doses as they grow. The child is not in status epilepticus so does not need to go to the emergency department. The dose will not be increased until the serum drug level is known.

Answer to Question 2

ANS: D
Phenytoin will cause reddish-brown colored urine. Patients should be counseled to report a rash to the provider because it could be a serious adverse reaction. Bleeding gums are common, but patients should never stop taking anticonvulsants abruptly, or they may develop seizures. Changes in blood glucose may occur but do not necessarily result in diabetes.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

bio_gurl

  • Hero Member
  • *****
  • Posts: 524
Reply #2 on: Jul 23, 2018
TY


durant1234

  • Sr. Member
  • ****
  • Posts: 338
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Species-rich floras of chalk grassland compared to species-poor floras of acid soils. Species-rich floras of chalk grassland compared to species-poor floras of acid soils.
A Golden Retriever at 12 years old A Golden Retriever at 12 years old
Sphygmomanometry. Photograph of a physician taking blood pressure readings with the use of a sphygmo Sphygmomanometry. Photograph of a physician taking blood pressure readings with the use of a sphygmo
General structure of an amino acid General structure of an amino acid
Catabolism of purinenucleotides to uric acid Catabolism of purinenucleotides to uric acid
Approximately 40 percent of farmers in the United States are 55 years old or older Approximately 40 percent of farmers in the United States are 55 years old or older
Video: What are the Parts of a Plant Cell?

For a complete list of videos, visit our video library