Author Question: The patient is to receive phenytoin (Dilantin) at 0900 . The nurse knows that the ideal time to draw ... (Read 106 times)

danielfitts88 · **on:** Jul 22, 2018

The patient is to receive phenytoin (Dilantin) at 0900 . The nurse knows that the ideal time to draw a trough level is

a. 0800.
b. 0830.
c. 0900.
d. 0930.

Question 2

The nurse is working in a free clinic and caring for a homeless client diagnosed with paranoid schizophrenia. The client reports, I hurt my foot running away from them. It hurts so bad I can hardly walk now.

On assessment, the nurse notices bruising on the client's back, arms, and thighs, a red rash on her neck and face, and poor personal hygiene, in addition to edema of the left ankle. Which of the following pose a risk to this client? a. Physical abuse and assault
b. Drug addiction relating to pain
c. Communicable immune disorders
d. Hospitalization due to a mental disorder

cam1229 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Trough levels are generally drawn 30 minutes before the drug is administered. If the medication is administered at 0900, the trough should be drawn at 0830.

Answer to Question 2

A

Feedback
A When a client has a severe mental illness, multiple health and socioeconomic challenges must be explored. Many such clients are homeless or marginally housed. The client's report of needing to run away from others requires further assessment in order to rule out physical abuse or assault.
B Drug addiction may be a consideration, even though the client is not seeking drugs.
C Communicable disease is a risk factor. However, this is not the best available option, since several factors relate to abuse or assault.
D Hospitalization may be required for medical treatment, but there is no indication that this client requires hospitalization for psychiatric crisis.