A Patient Who Has Been Taking Phenobarbital for Epilepsy Begins

question 15

Multiple Choice

A patient who has been taking phenobarbital for epilepsy begins taking valproic acid [Depakote] as adjunct therapy. The nurse notes that the patient is very drowsy. What will the nurse do?

• A) Explain to the patient that tolerance to sedation eventually will develop.
• B) Notify the prescriber, and request an order to reduce the dose of phenobarbital.
• C) Notify the prescriber of the need to increase the dose of valproic acid.
• D) Request an order for liver function tests to monitor for hepatotoxicity.

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