A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic

1. Which med should you ambulate the client to a chair prior to administering the medication?

   Inhaltsverzeichnis Show

   • Is valproic acid a high risk medication?
   • What are the contraindications of valproic acid?
   • How does valproic acid work for seizures?
   • Which medication should be avoided in a patient with a history of seizures?

   alendronate: The nurse should ambulate the client to a chair and ensure that the client is sitting upright before administering the alendronate to prevent esophagitis from occurring. The client must also be able to sit or stand upright for 30 min after taking the medication. The nurse should apply the safety and risk reduction priority-setting framework. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow’s Hierarchy of Needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client.

2. A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?
   
   
   
   

   C. Ergotamine prevents or stops a migraine headache by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth muscle, which causes vasoconstriction of dilated cerebral blood vessels.

3. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?

   A.  Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding.

4. A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.)

   a. BUN
   b. PTT
   c. AST
   d. Urinalysis
   e. ALT

   BUN is incorrect. Valproic acid has no effect on kidney function.

   PTT is correct. Valproic acid can alter coagulation; therefore, PT and PTT should be monitored.

   Aspartate aminotransferase (AST) is correct. Valproic acid can cause life-threatening hepatotoxicity. The client should have baseline liver function tests (LFTs) before starting this medication and LFTs should be repeated at regular intervals during therapy.

   Urinalysis is incorrect. Valproic acid has no effect on kidney function.

   Alanine aminotransferase (ALT) is correct. ALT is a liver enzyme that is measured as a component of liver function tests. Levels of the enzyme identify liver damage.

5. A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

   a. "Take hydrochlorothiazide as needed for edema."
   b. "Check your weight once each week."
   c. "Take the hydrochlorothiazide on an empty stomach."
   d. "Take the hydrochlorothiazide in the morning."

   Take hydrochlorothiazide as needed for edema." The client should take hydrochlorothiazide on a regular basis.

   "Check your weight once each week."The client should check his weight daily to monitor for edema.

   "Take the hydrochlorothiazide on an empty stomach."The client should take hydrochlorothiazide with food to reduce gastric distress.

   (CORRECT) "Take the hydrochlorothiazide in the morning."The client should take hydrochlorothiazide in the morning to allow for diuresis during the day and prevent nocturia.

6. Drug class of Enalapril?

   ACE

7. Indication of Nifedipine?

   Stop contractions during preterm labor

8. Adverse effect and what to look for on labs for Amphoterian B (systemic antifungal)?

   Nephrotoxicity and Hepatoxicity (Liver panel and BUN/Cr)

9. T or F: Epinephrin will cause tachycarida
   

   True

10. What body system will you monitor for with Amytriptaline?

    Cardiac

11. What organ will Gemfibrozil (for hyperlipidemia) cause damage to?

    Liver

12. What is the action of Filgrastim?

    Increase neutrophil production. Used for chemo pateitns

Is valproic acid a high risk medication?

What are the contraindications of valproic acid?

How does valproic acid work for seizures?

Which medication should be avoided in a patient with a history of seizures?