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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Definitions:

Age-related Events

These are significant life events that typically occur or are expected to happen at certain ages, such as starting school, retirement, etc.

Self-esteem

The subjective evaluation or perception of one's own worth or abilities, influencing mental health and behavior.

Opposites

Pairs of concepts or entities that are diametrically different or contrary to each other in characteristics.

Satisfying Relationships

Interpersonal connections that fulfill emotional, physical, and social needs, leading to contentment and happiness.