What do you assess for in a patient who is on Valproate? Select all that apply.

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ATI Pharmacology Made Easy 4.0 The Hematologic System Questions

Question 1 of 5

What do you assess for in a patient who is on Valproate? Select all that apply.

Correct Answer: A

Rationale: A. Suicidal thoughts: Valproate is commonly used in the treatment of mood disorders like bipolar disorder, and it is known to increase the risk of suicidal thoughts and behaviors. Therefore, it is essential to assess for any signs of suicidal ideation in patients on Valproate.

Question 2 of 5

A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?

Correct Answer: A

Rationale: Option E is the correct answer. When a patient with type II diabetes is taking a beta blocker, it's important to monitor blood glucose levels regularly for possible changes in glucose levels. Beta blockers can mask the symptoms of hypoglycemia, such as tremors and rapid heartbeat, which can make it harder for patients to recognize when their blood sugar is too low. On the other hand, beta blockers can also potentially lead to hyperglycemia as they can blunt the body's response to hypoglycemia by inhibiting the release of counter-regulatory hormones like epinephrine. Therefore, monitoring blood glucose levels is crucial in such patients to prevent complications related to blood sugar fluctuations.

Question 3 of 5

What do you assess for in a patient who is on Valproate? Select all that apply.

Correct Answer: A

Rationale: A. Suicidal thoughts: Valproate is commonly used in the treatment of mood disorders like bipolar disorder, and it is known to increase the risk of suicidal thoughts and behaviors. Therefore, it is essential to assess for any signs of suicidal ideation in patients on Valproate.

Question 4 of 5

The physician has prescribed haloperidol (Haldol) for the patient with schizophrenia. What is the priority patient outcome?

Correct Answer: B

Rationale: Haloperidol treats schizophrenia's positive symptoms, but compliance is the priority outcome, as relapse follows non-adherence. Fluids/fiber manage side effects. Hallucination reduction depends on compliance. Restlessness signals issues, not a goal. B ensures treatment success, making it the priority.

Question 5 of 5

Pharmacogenetics is a relatively new area within pharmacology. Which statement best describes the potential of this new area?

Correct Answer: A

Rationale: Pharmacogenetics tailors drugs to genetic profiles (e.g., CYP2C19 for clopidogrel), minimizing unpredictable idiosyncratic responses like rashes. Reducing drug numbers or errors isn't genetics-driven. Cost and efficacy improve indirectly. Customization prevents adverse reactions, its core potential.

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