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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.

Choice B rationale:

Insomnia is not typically associated with pioglitazone.

Choice C rationale:

Orthostatic hypotension is not typically associated with pioglitazone.

Choice D rationale:

Tinnitus is not typically associated with pioglitazone.

A. INR 1.6 B. WBC 6,000/mm3 C. Hgb 16 g/dL D. aPTT 90 seconds

Correct Answer is D

Explanation

Choice A rationale:

An INR of 1.6 is slightly elevated but does not necessarily warrant an incident report.

Choice B rationale:

A WBC count of 6,000/mm3 is within a normal range and would not warrant an incident report.

Choice C rationale:

A hemoglobin level of 16 g/dL is within a normal range and does not warrant an incident report.

Choice D rationale:

An aPTT of 90 seconds is significantly prolonged and may indicate excessive anticoagulation from the heparin administration. This could potentially be a safety concern and would warrant an incident report for further evaluation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

Correct Answer is D

Explanation

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?

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