A client is prescribed valproic acid for seizure control. The client's current serum level of valproic acid is 130 mcg/mL. The nurse should:
a. administer a stat dose to the client now as prescribed for low level of drug.
b. notify the health care provider immediately.
c. plan to administer the client's next dose.
d. have the laboratory redo the blood test.
ANS: B
Feedback
A Incorrect: The normal serum level of valproic acid is 50-100 mcg/mL so the client shouldn't receive a stat dose, as this is a high level.
B Correct: The health care provider should be notified immediately.
C Incorrect: This is a high serum level, so the nurse should not plan to administer the next dose.
D Incorrect: This is not an appropriate nursing action.
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