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 A

Explanation

A. Report sudden, persistent headaches. – Correct. Persistent headaches may indicate a stroke, a severe complication of sickle cell anemia due to vaso-occlusion.

B. Restrict fluid intake during times of stress. – Incorrect. Hydration is crucial to prevent sickling of red blood cells. Fluids should be increased, not restricted.

C. Apply cold compresses to painful areas. – Incorrect. Cold can cause vasoconstriction and worsen sickling. Warm compresses are recommended instead.

D. Avoid meningococcal immunizations. – Incorrect. Children with sickle cell anemia are at increased risk for infections and should receive all recommended vaccinations, including the meningococcal vaccine.

A. "I can expect my eyelids to be bruised after this procedure." B. "I know the provider will replace the lens in my eyes during this procedure." C. "I will see dark spots in my vision after this procedure." D. "I will receive general anesthesia for this procedure."

Correct Answer is B

Explanation

A. "I can expect my eyelids to be bruised after this procedure." – Bruising of the eyelids is not a typical postoperative effect of cataract surgery. The procedure is minimally invasive and does not cause significant trauma to surrounding tissues.

B. "I know the provider will replace the lens in my eyes during this procedure." – This is the correct statement. Cataract surgery involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore vision.

C. "I will see dark spots in my vision after this procedure." – Visual disturbances such as dark spots or floaters are not expected. Some clients may experience mild blurriness, but this should improve as the eye heals.

D. "I will receive general anesthesia for this procedure." – Cataract surgery is typically performed under local anesthesia with sedation, not general anesthesia. The client remains awake but does not feel pain.

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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?

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