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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

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

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Correct Answer is C

Explanation

Choice A rationale:

The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.

Choice B rationale:

Monitoring kidney function is not the primary focus of tuberculosis medication management.

Choice C rationale:

Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.

Choice D rationale:

Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.

A. Give diphenhydramine IM. B. Administer epinephrine IM. C. Elevate the client's legs and feet. D. Replace the infusion with 0.9% sodium chloride.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

Correct Answer is C

Explanation

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?

Correct Answer is B

Explanation

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