A nurse is caring for a client who refused a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? Select all that apply
Explanation & Rationale
A. Educating the client about the consequences of not taking valproic acid is essential to ensure they understand the importance of adherence to the medication regimen. B. Suggesting that the client take the medication with food can help minimize gastrointestinal side effects such as nausea. C. Documenting the client's refusal in the medication administration record is a critical step to maintain accurate medical records and to inform other healthcare providers. D. Offering to administer the medication IM is not appropriate, as valproic acid is typically given orally and not via intramuscular injection. E. Recommending the client ask the provider about an enteric-coated formulation may provide a more tolerable option to reduce gastrointestinal side effects.