What potential complications should the nurse monitor for in a client receiving valproic acid?

Valproic acid, an anticonvulsant and mood-stabilizing medication, is associated with several potential complications, one of which is pancreatitis. This is an important consideration for nurses and healthcare providers monitoring patients on valproic acid. The risk of developing pancreatitis can manifest as abdominal pain, nausea, vomiting, and changes in pancreatic enzyme levels, which necessitates vigilant observation and prompt intervention if symptoms arise.

While other complications may arise with valproic acid therapy, they are not the primary concerns associated with this medication. Pneumonia, while a risk in immunocompromised patients, is not a direct complication of valproic acid. Kidney stones can occur with some medications, but they are not a known side effect of valproic acid specifically. Lastly, thyroid dysfunction is less commonly associated with valproic acid compared to other medications, making pancreatitis the key complication to monitor for in patients receiving this drug.