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A nurse is caring for a school-age child who is taking valproic acid. The nurse should expect the provider to order which of the following diagnostic tests?

A.

ABGs

B.

Serum liver enzyme levels

C.

Chest X-ray

D.

Urine culture and sensitivity

Answer and Explanation

The Correct Answer is B

Rationale: 

 

A. Arterial blood gases (ABGs) are typically used to assess respiratory function and acid-base balance, which are not primary concerns with valproic acid use. 

 

B. Serum liver enzyme levels are critical to monitor due to the risk of hepatotoxicity associated with valproic acid therapy, making this test essential for safe management. 

 

C. A chest X-ray is generally used to assess respiratory conditions, not relevant for monitoring the effects of valproic acid. 

 

D. Urine culture and sensitivity are used to diagnose urinary tract infections and are not relevant to the monitoring of valproic acid therapy.


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View Related questions

Correct Answer is C

Explanation

Rationale:

A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.

B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.

C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.

D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.

Correct Answer is C

Explanation

Rationale:

A. Muscle rigidity is not a typical manifestation of digoxin toxicity; it is more commonly associated with other conditions or medications.

B. Constipation can occur but is not a primary sign of digoxin toxicity.

C. Nausea is a common early sign of digoxin toxicity and should be included in the teaching. Other symptoms may include vomiting, visual disturbances, and confusion.

D. Wheezing is not associated with digoxin toxicity; it may suggest respiratory issues or an allergic reaction.

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