A nurse is reinforcing teaching about valproate with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching?
Thyroid function tests must be performed every 6 months.
A pretreatment electroencephalogram (EEG) will be performed.
A white blood count must be monitored weekly.
Liver function tests must be monitored regularly.
The Correct Answer is D
Choice A reason: Thyroid function monitoring is associated with lithium therapy, not valproate.
Choice B reason: EEGs are not required for valproate therapy. They are used in seizure diagnosis, not routine monitoring.
Choice C reason: Weekly WBC monitoring is required for clozapine due to risk of agranulocytosis, not valproate.
Choice D reason: Valproate carries a risk of hepatotoxicity. Regular liver function monitoring is essential to detect early signs of liver damage.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Eating half of meals indicates reduced intake but is not immediately dangerous. It requires monitoring but is not the priority.
Choice B reason: Diminished facial affect is a negative symptom of schizophrenia. While important to document, it does not pose immediate risk.
Choice C reason: Decreased energy level is nonspecific and could be related to medication or illness. It is not urgent compared to bizarre behaviors.
Choice D reason: Bizarre behaviors are a positive symptom that may indicate worsening psychosis. They can pose safety risks to the client or others, making them the priority to report.
Correct Answer is C
Explanation
Choice A reason: Allowing free interaction worsens disruption and does not protect other clients’ rights to a therapeutic environment.
Choice B reason: Threatening restraints is inappropriate and escalates agitation. Restraints are only used as a last resort for safety, not for excessive talking.
Choice C reason: Escorting the client to her room removes her from the disruptive environment and provides a calmer space. This is the most appropriate intervention to manage manic behavior.
Choice D reason: Practicing social interaction is useful in stable phases, but during acute mania the client cannot control excessive talking. This is not appropriate at this time.
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