Very hard

A patient with epilepsy is prescribed sodium valproate. Which finding should the nurse report promptly?

Correct answer: B. New severe abdominal pain and vomiting

  • A. Mild thirst after exercise
  • B. New severe abdominal pain and vomiting
  • C. Occasional hunger before meals
  • D. Slightly increased sleep after dosing

Explanation

Severe abdominal pain and vomiting may indicate pancreatitis, a serious adverse effect of sodium valproate. The nurse should also monitor for liver toxicity and unusual bleeding, but the other listed findings are less urgent.

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Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.

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