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 ["7.5"]
Explanation
The correct answer is 7.5 ML
To answer this question, we need to use the formula:
mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:
mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:
mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:
mL to administer = 14.95 mL/day
Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:
mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:
mL to administer per dose = 7.475 mL
Rounding to the nearest tenth, we get:
mL to administer per dose = 7.5 mL
Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.
Correct Answer is D
Explanation
Choice A rationale:
Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
Choice B rationale:
A dry cough is a common side effect of amphotericin B, but it is not an indicator of an acute infusion reaction.
Choice C rationale:
Pedal edema is not a typical sign of an acute infusion reaction to amphotericin B.
Choice D rationale:
Fever, along with other symptoms like chills, fever, nausea, and vomiting, can be indicative of an acute infusion reaction to amphotericin B. It may require stopping the infusion and providing appropriate treatment.
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