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 B
Explanation
Choice A rationale:
Increased pain relief is not a therapeutic effect of naloxone, but rather an adverse effect of morphine. Naloxone would reduce the analgesic effect of morphine and increase the pain sensation in the client.
Choice B rationale:
Naloxone is an opioid antagonist that reverses the effects of opioids, such as morphine, on the central nervous system. One of the main adverse effects of opioids is respiratory depression, which can lead to hypoxia and death. Naloxone restores normal breathing by blocking the opioid receptors in the brain and spinal cord. Therefore, a therapeutic effect of naloxone is increased respiratory rate.
Choice C rationale:
Decreased blood pressure is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the blood pressure significantly, unless the client had severe hypotension due to opioid overdose.
Choice D rationale:
Decreased nausea is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the gastrointestinal system, unless the client had severe nausea and vomiting due to opioid overdose.
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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