Exhibits

A nurse is caring for a client in an outpatient clinic.

Complete the following sentence by using the lists of options.

The client is at risk for 

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due to 

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C Ataxia can occur as a side effect of phenytoin, especially if the dosage is too high or if the client is particularly sensitive to the medication. It can impair the client's ability to perform activities of daily living safely. Therefore, it should be monitored closely, and significant ataxia should be reported to the provider for evaluation and possible adjustment of the medication dosage.

A. This is a known adverse effect of phenytoin. It can cause the gums to become swollen, enlarged, and prone to bleeding. Although it is not typically harmful to the client's health, it can affect oral hygiene and appearance. The nurse should educate the client about good oral care practices and encourage regular dental check-ups. While it does not necessarily need to be reported immediately, it should be documented and monitored.

B. Drowsiness is a common side effect of phenytoin and many other anticonvulsant medications. It often occurs initially or when the dosage is increased. While it can affect the client's daily activities and quality of life, it does not usually require immediate reporting unless it is severe or persistent.

D. Hirsutism is a less common side effect of phenytoin. It results from hormonal changes induced by the medication. While it may not pose an immediate threat to the client's health, it can cause distress and affect self-esteem. Therefore, it should be reported to the provider for further assessment and management.

C Clopidogrel can affect platelet function, which may lead to increased susceptibility to bruising or bleeding. Clients taking clopidogrel should be advised to monitor for unexplained bruising, bleeding gums, or prolonged bleeding from minor cuts and to promptly report these symptoms to their healthcare provider.

A. Clopidogrel primarily affects platelet function and is unlikely to cause visual disturbances. Therefore, blurred vision is not a significant concern with this medication.

B. Clopidogrel does not affect gastrointestinal motility or function in a way that would lead to constipation. Therefore, constipation is not expected as a side effect of this medication.

D. Clopidogrel does not typically affect metabolism or appetite in a way that would cause weight loss. Therefore, weight loss is not an expected side effect of this medication.