Patients taking phenytoin (Dilantin) for control of seizures must be aware of which adverse effect(s)? (Select all that apply.)

Blood dyscrasias

Hyperglycemia

Urinary retention

Gingival hyperplasia

Sedation

Answer and Explanation

Correct Answer : A,D

A. Blood dyscrasias: This is a correct choice. Phenytoin can cause blood dyscrasias, including conditions like leukopenia, thrombocytopenia, and anemia.

B. Hyperglycemia: This is not typically associated with phenytoin. The primary adverse effects related to blood sugar are usually changes in glucose metabolism or hypoglycemia.

C. Urinary retention: This is not a common adverse effect of phenytoin. It is more associated with other medications or medical conditions.

D. Gingival hyperplasia: This is a correct choice. Phenytoin is known to cause gingival hyperplasia, which is an overgrowth of the gum tissue.

E. Sedation: This is not a common adverse effect of phenytoin. Phenytoin is more known for causing CNS-related side effects like nystagmus, ataxia, and dizziness.

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Correct Answer is ["A","D"]

Explanation

A. Acetaminophen

Acetaminophen is a non-opioid analgesic that can be used for mild to moderate pain relief. It is suitable for managing pain associated with abrasions.

B. Aspirin

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and anti-inflammatory properties. While it can be used for pain relief, it may increase the risk of bleeding, and its use is generally avoided in acute injuries with bleeding.

C. Hydrocodone

Hydrocodone is an opioid analgesic and is typically reserved for moderate to severe pain. It may not be the first choice for managing pain associated with abrasions unless the pain is more intense.

D. Ibuprofen

Ibuprofen is a NSAID that provides analgesic and anti-inflammatory effects. It is suitable for managing pain and inflammation associated with abrasions.

E. Morphine

Morphine is a strong opioid analgesic and is generally reserved for severe pain, such as post-surgical pain or pain associated with more significant injuries. It may be excessive for managing pain from abrasions.

Correct Answer is ["4"]

Explanation

To give the patient the prescribed dose of ziprasidone hydrochloride (Geodon), you need to calculate the number of tablets required.

One tablet contains 20 mg of the drug, so you need to divide the ordered dose by the tablet strength.

80 mg / 20 mg = 4 tablets.

Therefore, you would administer four tablets of ziprasidone hydrochloride (Geodon) to the patient.

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Patients taking phenytoin (Dilantin) for control of seizures must be aware of which adverse effect(s)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has fallen off his mountain bike and sustained multiple abrasions to both of his knees. Which would be appropriate medication(s) for pain management for this client? (Select All That Apply)

Correct Answer is ["A","D"]

Explanation

The physician writes an order for ziprasidone hydrochloride (Geodon) 80 mg. Each tablet contains 20 mg. How many tablets would you administer?

Correct Answer is ["4"]

Explanation

Order: Fluconazole (Diflucan) 5 mg/kg p.o. every day. The label on the bottle reads "50 mg/tablet." Calculate how many capsules you should administer for a child who weighs 44 pounds.

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