A child who receives valproic acid Depakote begins taking ...

[tfester]

A child who receives valproic acid Depakote begins taking lamotrigine Lamictal because of an increase in the number of seizures. The nurse will observe this child closely for which symptom?
 
  a. Angioedema
  b. Hypohidrosis
  c. Rash
  d. Psychosis

Question 2

A 60-year-old African American patient has a blood pressure of 120/80 mm Hg and reports a family history of hypertension. The patient has a body mass index of 22.3 . The patient reports consuming alcohol occasionally.
 
  Which therapeutic lifestyle change will the nurse expect to teach this patient? a. Alcohol cessation
  b. Potassium supplementation
  c. Sodium restriction
  d. Weight loss

[nickk12214]

Answer to Question 1

C
Lamotrigine can cause life-threatening rashes, such as Stevens-Johnson syndrome and toxic epi-dermal necrolysis, and this risk increases with concurrent use of valproic acid. Angioedema is an adverse effect associated with pregabalin. Hypohidrosis and psychosis are associated with topi-ramate.

Answer to Question 2

C
Current recommendations for African Americans to prevent hypertension include sodium restric-tion of less than 1500 mg/day, although this is under investigation. The patient has a normal BMI and does not consume alcohol excessively, so weight loss and alcohol cessation are not necessary. Potassium supplements are not indicated; patients should be advised to consume foods high in potassium.

[tfester]

Thank you!

[nickk12214]

Always glad to help...