A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?
Red man syndrome
Hypotension
Hypoglycemia
Bradycardia
The Correct Answer is B
Choice A rationale:
Red man syndrome is associated with vancomycin, not phenytoin.
Choice B rationale:
Hypotension, or low blood pressure, can be an adverse effect of phenytoin.
Choice C rationale:
Hypoglycemia is not a typical adverse effect of phenytoin.
Choice D rationale:
Bradycardia is not a common adverse effect of phenytoin.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.
Choice B rationale:
In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.
Choice C rationale:
Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.
Choice D rationale:
Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.
Correct Answer is C
Explanation
Choice A rationale:
Nicotine transdermal system is not known to have a significant interaction with carbamazepine.
Choice B rationale:
Beclomethasone is not known to have a significant interaction with carbamazepine.
Choice C rationale:
Carbamazepine can induce the metabolism of estrogen and progestin, potentially reducing their effectiveness in birth control. Women taking these combinations should use alternative contraceptive methods.
Choice D rationale:
Diphenhydramine is not known to have a significant interaction with carbamazepine.
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