Question

A nurse is reinforcing medication teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should instruct the patient to have all of the following laboratory tests completed periodically, EXCEPT?

A) Liver function tests
B) Complete blood count (CBC)
C) Serum electrolyte levels
D) Thyroid function tests

Answer 1

The nurse should instruct the patient to have Liver function tests, Complete blood count (CBC), and Serum electrolyte levels periodically; however, Thyroid function tests are not usually required unless clinically indicated.

Step-by-step explanation:

The nurse should instruct the patient to have the following laboratory tests completed periodically: Liver function tests, Complete blood count (CBC), and Serum electrolyte levels. However, the nurse should NOT instruct the patient to have Thyroid function tests routinely unless there is a specific clinical indication for evaluating thyroid function. Valproic acid is known to potentially cause hepatotoxicity and thrombocytopenia, which is why liver function tests and CBC are paramount. Serum electrolyte levels may be needed to monitor for metabolic disturbances, especially if the patient presents with symptoms that suggest electrolyte imbalances. Thyroid testing is not a standard requirement with valproic acid therapy but might be ordered if thyroid dysfunction is suspected based on clinical assessment.