Exam #2 Question&answer

The nurse is providing education for a 12-year-old client with partial seizures currently prescribed valproic acid (Depakene). The nurse will teach the client and the parents to immediately report which symptom? 1. Increasing or severe abdominal pain 2. Decreased or foul taste in the mouth 3. Pruritis or dry skin 4. Bone and joint pain {Ans: Answer 1. Rationale: Valporic acid may cause life-threatening pancreatitis, and any severe or increasing abdominal pain should be reported immediately. Options 2, 3, and 4 are incorrect. The drug is not known to cause dyspepsia (altered sense of taste) or effects on bones or joints. Although pruritus is an adverse effect associated with vampiric acid, it may be managed with simple therapies, and unless it progresses to a more serious rash, it does not need to be reported immediately.}What is the most appropriate method to ensure adequate pain relief in the immediate postoperative period from an opioid drug? 1. Give the drug only when the family members report that the patient is in pain 2. Give the drug every time the patient complains of acute pain 3. Give the drug as consistently as possible for the first 24-48 hours 4. Give the drug