A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?

Potassium level

Thyroid function tests

Uric acid level

Liver function tests

Answer and Explanation

The Correct Answer is D

A. Potassium level – Valproic acid does not significantly affect potassium levels, so this is not a necessary baseline test.

B. Thyroid function tests – Valproic acid is not known to significantly impact thyroid function, making this an unnecessary test.

C. Uric acid level – Uric acid levels are more relevant for conditions like gout, and valproic acid does not typically cause hyperuricemia.

D. Liver function tests – This is the correct answer because valproic acid is metabolized in the liver and can cause hepatotoxicity. Baseline liver function tests (LFTs) should be reviewed before starting the medication to assess liver health.

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Correct Answer is D

Explanation

A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.

B. Using both feet on each step when going upstairs is developmentally appropriate at this age.

C. Running with a wide stance is common in toddlers as they develop balance and coordination.

D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.

A. Emptying an indwelling urinary catheter bag for a client while wearing clean gloves B. Performing a simple dressing change on a client's foot C. Providing postmortem care for a client who has recently died D. Washing hands with alcohol-based hard rub after bathing a client who has Clostridium difficile

Correct Answer is D

Explanation

A. Emptying an indwelling urinary catheter bag with clean gloves is appropriate and does not require intervention.

B. Performing a simple dressing change on a client’s foot is within the AP's scope of practice if the dressing is not complex or sterile.

C. Providing postmortem care is within the AP's role and does not require intervention unless specific contraindications exist.

D. Clostridium difficile (C. diff) spores are resistant to alcohol-based hand rubs. The AP must use soap and water for hand hygiene to effectively remove spores. This is an infection control breach that requires immediate intervention.

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A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?

Nursing Test Bank

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