,1. Diarrhea
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
2. Tremors
3. Drowsiness
4. Hypotension
A client is taking the prescribed dose of phenytoin (Dilantin) to control seizures.
Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which
finding would be expected as a result of this laboratory result?
1. Hypotension
2. Tachycardia
3. Slurred speech
4. No abnormal finding
3. Slurred speech
The client arrives at the emergency department complaining of back spasms. The
client states, "I have been taking two to three aspirin every 4 hours for the last
week, and it hasn't helped my back." Since aspirin intoxication is suspected, the
nurse should assess the client for which manifestation?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Photosensitivity
1. Tinnitus
A client with trigeminal neuralgia is being treated with carbamazepine
(Tegretol), 400 mg orally daily. Which value indicates that the client is
experiencing an adverse effect to the medication? 1. Uric acid level, 5 mg/dL
, 2. Sodium level, 140 mEq/L
3. Blood urea nitrogen level, 15 mg/dL
4. White blood cell count, 3000 cells/mm3 4. White blood cell count, 3000
cells/mm3
The nurse is caring for a client with severe back pain. Codeine sulfate has been
prescribed for the client. Specific to this medication, which intervention should the
nurse include in the plan of care while the client is taking this medication?
1. Monitor radial pulse.
2. Monitor bowel activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
2. Monitor bowel activity.
The nurse has given medication instructions to a client receiving phenytoin
(Dilantin). Which statement indicates that the client has an adequate understanding
of the instructions?
1. "Alcohol is not contraindicated while taking this medication."
2. "Good oral hygiene is needed, including brushing and flossing."
3. "The medication dose may be self-adjusted, depending on side effects."
4. "The morning dose of the medication should be taken before a serum drug level
is drawn."
2. "Good oral hygiene is needed, including brushing and flossing."
A client with myasthenia gravis has become increasingly weaker. The health care
provider prepares to identify whether the client is reacting to an overdose of the
medication (cholinergic crisis) or an increasing severity of the disease (myasthenic
crisis). An injection of edrophonium is administered. Which finding would
indicate that the client is in cholinergic crisis?
1. No change in the condition
2. Complaints of muscle spasms
3. An improvement of the weakness
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
2. Tremors
3. Drowsiness
4. Hypotension
A client is taking the prescribed dose of phenytoin (Dilantin) to control seizures.
Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which
finding would be expected as a result of this laboratory result?
1. Hypotension
2. Tachycardia
3. Slurred speech
4. No abnormal finding
3. Slurred speech
The client arrives at the emergency department complaining of back spasms. The
client states, "I have been taking two to three aspirin every 4 hours for the last
week, and it hasn't helped my back." Since aspirin intoxication is suspected, the
nurse should assess the client for which manifestation?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Photosensitivity
1. Tinnitus
A client with trigeminal neuralgia is being treated with carbamazepine
(Tegretol), 400 mg orally daily. Which value indicates that the client is
experiencing an adverse effect to the medication? 1. Uric acid level, 5 mg/dL
, 2. Sodium level, 140 mEq/L
3. Blood urea nitrogen level, 15 mg/dL
4. White blood cell count, 3000 cells/mm3 4. White blood cell count, 3000
cells/mm3
The nurse is caring for a client with severe back pain. Codeine sulfate has been
prescribed for the client. Specific to this medication, which intervention should the
nurse include in the plan of care while the client is taking this medication?
1. Monitor radial pulse.
2. Monitor bowel activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
2. Monitor bowel activity.
The nurse has given medication instructions to a client receiving phenytoin
(Dilantin). Which statement indicates that the client has an adequate understanding
of the instructions?
1. "Alcohol is not contraindicated while taking this medication."
2. "Good oral hygiene is needed, including brushing and flossing."
3. "The medication dose may be self-adjusted, depending on side effects."
4. "The morning dose of the medication should be taken before a serum drug level
is drawn."
2. "Good oral hygiene is needed, including brushing and flossing."
A client with myasthenia gravis has become increasingly weaker. The health care
provider prepares to identify whether the client is reacting to an overdose of the
medication (cholinergic crisis) or an increasing severity of the disease (myasthenic
crisis). An injection of edrophonium is administered. Which finding would
indicate that the client is in cholinergic crisis?
1. No change in the condition
2. Complaints of muscle spasms
3. An improvement of the weakness
