A nurse is reinforcing teaching about valproate with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching?
Thyroid function tests must be performed every 6 months.
A pretreatment electroencephalogram (EEG) will be performed.
A white blood count must be monitored weekly.
Liver function tests must be monitored regularly.
The Correct Answer is D
Choice A reason: Thyroid function monitoring is associated with lithium therapy, not valproate.
Choice B reason: EEGs are not required for valproate therapy. They are used in seizure diagnosis, not routine monitoring.
Choice C reason: Weekly WBC monitoring is required for clozapine due to risk of agranulocytosis, not valproate.
Choice D reason: Valproate carries a risk of hepatotoxicity. Regular liver function monitoring is essential to detect early signs of liver damage.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Encouraging the client to argue with voices reinforces the hallucination and is not therapeutic.
Choice B reason: Telling the client the hallucination is not real helps orient them to reality while maintaining empathy. It acknowledges their experience without validating the hallucination.
Choice C reason: Acting as if the hallucination is real reinforces psychosis and is inappropriate.
Choice D reason: Asking direct questions about the hallucination can increase focus on the false perception, worsening symptoms.
Correct Answer is A
Explanation
Choice A reason: Clients with borderline personality disorder are at high risk for self-harm and suicidal behavior. Protecting the client from self-injury is the priority intervention to ensure safety.
Choice B reason: Redirecting violent behavior is important but secondary to preventing self-harm. Violence may occur, but self-injury is more immediate and life-threatening.
Choice C reason: Encouraging expression of feelings is therapeutic but not the priority when safety is at risk. Emotional exploration can occur after stabilization.
Choice D reason: Exploring reasons for behavior is useful for long-term therapy but is not the immediate priority in acute care.
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