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    ATI RN Capstone Pharmacology Proctored Exam 2
    Select All That Apply

    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

    Choice A rationaleEducating the client on the consequences of not taking valproic acid is important for informed decision-making. Without the medication, seizure control may be compromised, leading to potential health risks.Choice B rationaleTaking valproic acid with food can help minimize gastrointestinal side effects such as nausea by reducing gastric irritation and improving drug absorption.Choice C rationaleDocumenting the client's refusal in the medication administration record ensures accurate medical records and provides information for future healthcare decisions and assessments.Choice D rationaleEnteric-coated formulations of valproic acid can reduce gastrointestinal irritation by allowing the drug to pass through the stomach and dissolve in the intestine.

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