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 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale:
A BUN level of 16 mg/dL is within a normal range.
Choice B rationale:
A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.
Choice C rationale:
A sodium level of 142 mEq/L is within a normal range.
Choice D rationale:
An albumin level of 4 g/dL is within a normal range.
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