A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse explain to the patient as a result of possible drug interactions?
1. Taking valproate with clozapine decreases the effect of valproate.
2. Taking valproate with antacids can result in toxic levels of valproate.
3. Taking valproate with aspirin can result in toxic levels of valproate.
4. Taking valproate with lithium decreases the effectiveness of lithium.
Answer: 3
Explanation: Aspirin can increase the free concentration of valproate and result in toxic drug levels. Antacids, lithium, and clozapine have not been noted to have any significant interactive effect with valproate.
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A patient diagnosed with hypovolemic shock is prescribed intravenous fluids while awaiting blood transfusions. Which solution does the nurse recognize would be best for this patient?
1. Ringer's lactate 2. Dextrose 5% and water 3. Dextrose 5% and 0.45% normal saline 4. Dextrose 5% and 0.9% normal saline
Which intervention should you suggest to the client with COPD to reduce early satiety?
A. "Avoid drinking fluids just before and during meals." B. "Use a bronchodilator inhaler 30 minutes before meals." C. "Increase the amount of protein and reduce the amount of fat in your diet." D. "Practice diaphragmatic breathing against resistance at least 4 times each day."
It is most important for assessment of the child to be based on
a. previous interactions with the child b. what the caregivers know to be true c. fixed expectations d. the principles of physical growth and human development