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 B

Explanation

A. MRSA is a serious infection but is not nationally required to be reported to health departments in all cases.

B. This is the correct answer. Pulmonary tuberculosis (TB) is a reportable disease due to its public health risk, as it is highly contagious and requires monitoring.

C. Herpes simplex virus is not a reportable disease.

D. Fibromyalgia syndrome is a chronic pain condition and is not infectious or reportable.

A. Influenza B. Hepatitis A C. Varicella D. Rotavirus

Correct Answer is D

Explanation

A. Influenza – The first dose of the influenza vaccine is recommended at 6 months, not 2 months.

B. Hepatitis A – Hepatitis A vaccine is typically given at 12-23 months, not at 2 months.

C. Varicella – The varicella (chickenpox) vaccine is given at 12-15 months, so it is not appropriate for a 2-month-old.

D. Rotavirus – This is the correct answer. The rotavirus vaccine is recommended at 2 months, 4 months, and possibly 6 months, depending on the vaccine brand used.

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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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