The nurse knows that an important contraindication for valproic acid use is:

Bipolar disorder.

Pre-existing liver disease.

Asthma.

Migraine headaches.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Bipolar disorder is an approved indication for valproic acid use. It helps stabilize mood swings, particularly mania, making it a suitable treatment rather than a contraindication.

Choice B rationale

Pre-existing liver disease contraindicates valproic acid because it increases the risk of hepatic toxicity and liver failure. Liver function must be closely monitored in all patients receiving this drug.

Choice C rationale

Asthma is not affected by valproic acid use as the drug targets neurological pathways and does not impact respiratory or bronchial systems significantly.

Choice D rationale

Valproic acid is used to treat migraines and seizures. It prevents the occurrence of severe headaches through stabilization of neuronal activity, making this an appropriate rather than contraindicated use. .

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Correct Answer is A

Explanation

Choice A rationale

Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures. They occur due to brief interruptions in consciousness during seizure activity without major motor involvement.

Choice B rationale

Neurotoxin exposure typically presents with symptoms like weakness, ataxia, and autonomic dysfunction. Increased eye blinking and lip smacking are not specific to neurotoxin-related neurological damage or poisoning.

Choice C rationale

Hyponatremia causes confusion, lethargy, and muscle cramps due to electrolyte disturbance affecting cellular function, but it does not cause specific automatisms like eye blinking or lip smacking in seizure-related conditions.

Choice D rationale

Reversible adverse effects of anticonvulsants often include sedation or cognitive slowing. Automatisms such as blinking and smacking are not typically linked to the pharmacological effects of anticonvulsants.

A. The patient will recall events from childhood. B. The patient will return to work as a corporate attorney. C. The patient will actively participate in the rehabilitation process as appropriate. D. The patient will demonstrate improved motor coordination within two weeks.

Correct Answer is C

Explanation

Choice A rationale

Childhood memory recall reflects cognitive functioning but is unrelated to the patient's rehabilitation involvement, which focuses on regaining lost functional capacities following injury. Such a goal lacks immediate functional relevance.

Choice B rationale

Returning to work as a corporate attorney may be an eventual aim but depends on higher cognitive recovery levels and is too specific. Early rehabilitation outcomes focus on participation in the recovery process.

Choice C rationale

Active participation indicates readiness and willingness to engage in therapies essential for regaining lost functions. It aligns with goals for a transition from acute care to rehabilitation emphasizing functional improvement.

Choice D rationale

Motor coordination improvements require therapy timelines extending beyond two weeks. Such a rigid short-term goal undermines individualized rehabilitation focusing on measurable progress over more realistic durations.

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The nurse knows that an important contraindication for valproic acid use is:

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Naxlex Comprehensive Predictor Exams

The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures.The nurse is aware these symptoms indicate:

Correct Answer is A

Explanation

The nurse is caring for a patient who had a serious head injury.The patient has recovered enough to be transferred to a rehabilitation facility.Which of the following rehabilitation goals would be most appropriate for the patient?

Correct Answer is C

Explanation

The nurse is caring for a patient diagnosed with a traumatic head injury secondary to a work accident.In the morning assessment, the patient opened his eyes in response to noxious stimuli.Two hours later, what assessment finding would warrant immediate action by the nurse? The patient:

The nurse knows that an important contraindication for valproic acid use is:

Which behaviors by the patient diagnosed with a chronic head injury would the nurse expect to find?

The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder.The nurse would provide discharge education to the patient and family regarding which bladder management technique?

The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign.The nurse notices a yellow stain around fluid dripping from the patient's ear.The nurse's priority intervention will be as follows:

To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

The nurse should educate clients who are HIV+ on proper nutrition, exercise, and stress reduction because these factors will: (Select All that Apply.)