Author Question: A client taking phenytoin (Dilantin) is admitted to the emergency department with a level of 30 ... (Read 13 times)

Lisaclaire · **on:** Jul 23, 2018

A client taking phenytoin (Dilantin) is admitted to the emergency department with a level of 30 mcg/mL. The nurse would evaluate for the severe side effect of:

a. gingival hyperplasia.
b. abdominal distention.
c. abdominal cramps.
d. hypertension.

Question 2

A client is ordered to receive phenytoin (Dilantin). The client's serum phenytoin level is noted to be 15 mcg/mL. How does the nurse interpret this level?

a. 5 to 10 mcg/mL is subnormal.
b. 8 to 15 mcg/mL is above normal.
c. 10 to 20 mcg/mL is therapeutic.
d. 15 to 30 mcg/mL is toxic.

mcni194 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Gingival hyperplasia is a common side effect of high phenytoin levels.

Answer to Question 2

ANS: C
15 mcg/mL is an appropriate therapeutic level for this medication.