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Not cure epilepsy but will stop all further seizures: Valproic acid does not guarantee complete seizure elimination. While it can significantly reduce seizure frequency, some individuals may continue to experience occasional episodes despite compliance with therapy.

Cure epilepsy: Epilepsy is a chronic neurological disorder with no definitive cure in most cases. Antiepileptic medications like valproic acid are used to manage symptoms, not to eradicate the underlying condition.

Eliminate the need for the client to wear a medical alert bracelet: Clients with epilepsy should always wear a medical alert bracelet regardless of medication effectiveness. This ensures that others, are aware of their condition in the event of a seizure or emergency.

Reduce fear: Sedatives and hypnotics depress the central nervous system, helping calm the mind and body. This effect can be useful in reducing fear, especially in clinical or preoperative settings where fear may worsen outcomes.

Reduce anxiety related to unknown causes: These medications are often prescribed to manage generalized or acute anxiety. They help lower arousal and tension levels, making them appropriate for individuals experiencing unexplained or persistent anxiety.

Treat a hospitalized person: Hospitalized clients may experience insomnia, agitation, or pre-procedural anxiety. In such settings, short-term use of sedatives can be carefully monitored, making it generally safe and beneficial for selected patients.

Acetaminophen: Acetaminophen is not a salicylate and is generally safe for clients with salicylate allergies. It provides analgesic and antipyretic effects, though it lacks significant anti-inflammatory properties compared to NSAIDs like aspirin.

Morphine: Morphine is an opioid analgesic used for moderate to severe pain. It is not chemically related to salicylates and can be safely used in clients with salicylate allergies if opioid therapy is indicated.

Zolpidem: Zolpidem is a non-benzodiazepine hypnotic used to treat insomnia. It is unrelated to salicylates and does not pose a risk to individuals with salicylate allergies. However, it is not indicated for pain or inflammation.

Treat inflammation without a risk of bleeding: NSAIDs are used to treat inflammation, pain, and fever, but their use does carry risks, such as gastrointestinal bleeding and kidney injury, especially with prolonged use.

They are never used to treat fever: NSAIDs are commonly used to treat fever as well as inflammation and pain. Drugs like ibuprofen and naproxen are effective antipyretics.

Contain aspirin: While aspirin is classified as an NSAID, not all NSAIDs contain aspirin. There are many NSAIDs like ibuprofen and naproxen that do not contain aspirin but share similar anti-inflammatory and analgesic properties.

Phenytoin: Phenytoin is an antiepileptic used for long-term seizure control but is not the first-line drug for treating active status epilepticus. It can be given IV but works slowly and is usually used after a benzodiazepine has stopped the seizure.

Beta-blockers: Beta-blockers are primarily used for cardiovascular conditions such as hypertension and arrhythmias. They do not have any role in the acute management of seizures or status epilepticus.

Diazepam: Diazepam is also a benzodiazepine and effective for seizures, but lorazepam is preferred in IV form due to its longer duration of action and more predictable effect in controlling status epilepticus.

Munchausen syndrome: Munchausen syndrome is a psychiatric condition in which individuals deliberately fabricate or induce illness in themselves. It is unrelated to the pharmacological risks of aspirin use in children and not associated with fever management.

Guillain-Barré syndrome: Guillain-Barré syndrome is an autoimmune disorder affecting the peripheral nervous system, often triggered by infections. It has no direct link to aspirin use and does not influence decisions about antipyretic choice in children.

Angelman’s syndrome: Angelman’s syndrome is a genetic neurological disorder characterized by developmental delay and movement issues. It is not triggered or affected by aspirin use and is not relevant in the context of pediatric fever management.

Visual changes: Visual disturbances are not commonly associated with salicylate use. If present, they may be due to other causes and should still be evaluated, but they are not typical adverse effects of this class of medication.

Irritation of oral mucosa: Salicylates are more likely to irritate the gastrointestinal tract, not the oral mucosa. Stomach upset, nausea, or ulcers may occur, but mouth irritation is not a typical concern unless taken in unusual forms or dosages.

Increased hair growth: Hirsutism is not a known side effect of salicylates. This symptom is more commonly associated with hormonal imbalances or specific medications like corticosteroids or anticonvulsants, not aspirin or related drugs.

Use distraction to minimize the client's perception of pain: Distraction techniques can help manage mild to moderate pain but are not appropriate as a first response to severe pain. Pain relief should be based on a comprehensive assessment and clinical judgment, not substitution with non-pharmacologic methods alone.

Place the client in the most comfortable position possible: Positioning can enhance comfort but does not address the root cause or severity of the pain. It is supportive care that should follow a proper pain assessment and, if needed, pharmacologic intervention.

Administer pain medication to the client quickly: While timely pain relief is important, the nurse must first assess the pain’s location, intensity, quality, and duration. Administering medication without assessment may result in inappropriate dosing or failure to identify complications.

“I will make sure my child takes the medication on an empty stomach": Phenytoin can be taken with or without food, but taking it with food helps reduce gastrointestinal upset. Timing with food is less critical than ensuring consistent daily dosing for stable blood levels.

"I will stop the drug immediately if any side effects occur.": Abruptly stopping phenytoin can trigger rebound seizures or status epilepticus. Any side effects should be reported to the healthcare provider, but discontinuation must be done under medical supervision.

“I will weigh my child daily and feed them a high-calorie diet.": Daily weighing and a high-calorie diet are unnecessary unless there are other medical conditions affecting weight or nutrition. Phenytoin does not require such dietary monitoring.

Acute diabetic retinopathy: Diabetic retinopathy affects the blood vessels in the retina and is not affected by opioids. While diabetes needs overall management, it does not directly interfere with the safe use of opioids unless other complications are present.

Acute pre-existing liver disease: Liver function is important for drug metabolism, including opioids. However, this is a precaution rather than an absolute contraindication. Dosage adjustments and close monitoring may allow safe use depending on impairment severity.

Decreased intracranial pressure:Opioids are generally avoided in clients with increased intracranial pressure due to their potential to mask neurologic changes. However, decreased intracranial pressure is not a contraindication for opioid use and does not pose the same risk.