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 C
Explanation
Choice A rationale:
Raloxifene is not used to treat urinary tract infections.
Choice B rationale:
Raloxifene is not used to treat deep-vein thrombosis.
Choice C rationale:
Raloxifene is a medication used to treat and prevent osteoporosis in postmenopausal women. It is a selective estrogen receptor modulator (SERM) that helps improve bone density and reduce the risk of fractures.
Choice D rationale:
Raloxifene is not used to treat hypothyroidism.
Correct Answer is A,B,C,D
Explanation
Choice A rationale:
The first step is to remove the medication from the dispensing system. This ensures that the nurse has the right medication and dose for the client. The nurse should also check the label of the medication against the medication administration record (MAR) at this point. Choice B rationale:
The second step is to compare the client's wristband to the MAR. This verifies the client's identity and prevents medication errors. The nurse should use two identifiers, such as name and date of birth, to confirm the client's identity.
Choice C rationale:
The third step is to open the medication package. This prepares the medication for administration and prevents contamination. The nurse should also check the expiration date of the medication before opening it.
Choice D rationale:
The fourth step is to document administration of the medication. This completes the medication administration process and provides a record of the client's care. The nurse should document the medication name, dose, route, time, and any relevant observations or outcomes.
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