A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following information should the nurse give the client about the use of this medication?
Explanation & Rationale
Choice A reason: Valproate can cause hepatotoxicity, so liver function tests are essential to monitor for liver damage. This is a critical safety instruction for the client, making it the correct information to provide. Choice B reason: An EEG is not routinely required before valproate, though it may monitor seizures. It’s not standard for bipolar treatment, making this incorrect for client education. Choice C reason: High sodium levels don’t cause valproate toxicity; low sodium or drug interactions do. This is inaccurate, making it incorrect for the client’s medication teaching. Choice D reason: Thyroid function is not routinely monitored with valproate, unlike lithium. Liver monitoring is the priority, making this incorrect for valproate’s essential client information.