Author Question: A client is prescribed phenytoin daily for seizures. The nurse teaches the client about the ... (Read 18 times)

burchfield96 · **on:** Jul 23, 2018

A client is prescribed phenytoin daily for seizures. The nurse teaches the client about the importance of adhering to the dosage schedule based on the understanding that which of the following may occur if a single dose is missed?

A) CNS depression
B) Hypotension
C) Recurrence of seizures
D) Nystagmus

Question 2

The nurse is assessing a client who is receiving felbamate. The nurse suspects that the client may be developing pancytopenia based on which assessment finding? Select all that apply.

A) Gingival hyperplasia
B) Sore throat
C) Epistaxis
D) Skin rash
E) Bruising

mohan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
Recurrence of seizure activity may result from abrupt discontinuation of the drug, even when the anticonvulsant is being administered in small daily doses. Abrupt discontinuation of the drug does not cause CNS depression, hypotension, or nystagmus. CNS depression, hypotension, and nystagmus are adverse reactions of phenytoin.

Answer to Question 2

Ans: B, C, E
Feedback:
Signs of pancytopenia include sore throat, fever, general malaise, bleeding of the mucous membranes, epistaxis (bleeding from the nose), and easy bruising. Gingival hyperplasia and skin rash are examples of adverse reactions, but these are not associated with pancytopenia.