NABP NAPLEX Exam - Topic 6 Question 25 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 25
Topic #: 6

After talking to the patient you find out LT has been incompliant with her three times a day Valproic acid, level came back at 35 mmol/L.

What is the most appropriate course of action?

ANotify the physician to decrease the dose of Valproic acid.

BNotify the physician to increse the dose of Valproic acid.

CAlbumin needs to be obtained to calculate corrected Valproic acid level

DValproic acid level is within normal limit, no adjustment is needed.

Show Suggested Answer

Suggested Answer: D

The delayed-release action of divalproex allows for less frequent dosing than valproic acid in some patients. Divalproex sodium contains sodium valproate and valproic acid in a 1:1 molar stable co-ordination compound. Valproic acid, sodium valproate, and divalproex share the same pharmacology; however, there are pharmacokinetic differences among products.

by Penney at May 07, 2022, 01:52 PM

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James

4 months ago

Definitely need to check albumin levels before making any changes.

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Stephen

4 months ago

Wait, is 35 really considered normal? I thought it was low!

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Glenn

4 months ago

Actually, 35 mmol/L is on the low side, so increasing the dose might be needed.

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Rene

4 months ago

I think we should notify the physician about the compliance issue.

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Lucille

5 months ago

Valproic acid levels should be around 50-100 mmol/L.

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Vivan

5 months ago

I thought that if the level is 35 mmol/L, it might be considered normal, but I’m unsure if we should still notify the physician about the noncompliance.

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Levi

5 months ago

I think we might need to check the albumin level to see if we need to correct the Valproic acid level. That sounds familiar from our practice questions.

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Gilberto

5 months ago

I remember that Valproic acid levels should be monitored closely, but I'm not sure what to do if the patient is noncompliant.

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Donte

5 months ago

I feel like the level is a bit high, but I can't recall if we should decrease the dose or if it's okay since it's within the normal range.

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Dominque

5 months ago

Okay, I think I've got this. The 'happy day' term is likely related to protocol analysis, where we examine the steps a user takes to complete a task and identify positive moments in their journey.

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Jules

5 months ago

The "D" in DMAIC stands for "Define," I'm sure of it. This is a straightforward question, so I'll confidently select the "False" option.

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Yvette

5 months ago

I'm struggling to remember the differences between service-level and capability-level profiles. I feel like option B might be the right choice since it's about the overall purpose.

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