This topic contains a solution. Click here to go to the answer

Author Question: A nurse is administering medications to a patient with a history of seizures and notices that the ... (Read 56 times)

drink

  • Hero Member
  • *****
  • Posts: 554
A nurse is administering medications to a patient with a history of seizures and notices that the patient exhibits nystagmus, diplopia, and a serum phenytoin level of 25 mcg/mL.
 
  Upon further assessment, the nurse would anticipate which additional clinical finding? a. Other signs of phenytoin toxicity
  b. Signs of an impending seizure
  c. Stevens-Johnson syndrome
  d. Gingival hyperplasia

Question 2

Which statement is correct regarding the use of ipecac?
 
  a. Ipecac is the drug of choice when an unknown poison has been ingested.
  b. Ipecac is the safest agent to use when the patient is obtunded.
  c. When used, ipecac should be administered within 1 hour of the poisoning.
  d. Ipecac is useful when corrosive acids have been ingested.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

janeli

  • Sr. Member
  • ****
  • Posts: 346
Answer to Question 1

A
A phenytoin plasma level above 20 mcg/mL may cause the patient to manifest nystagmus and diplopia, as well as other signs of toxicity. This level is toxic; the normal level is 10 to 20 mcg/mL.
Nystagmus and diplopia are not indications of an impending seizure.
No evidence suggests that Stevens-Johnson syndrome is a factor.
Gingival hyperplasia is not a result of toxicity, but rather an expected effect in about 20 of pa-tients given phenytoin.

Answer to Question 2

c




drink

  • Member
  • Posts: 554
Reply 2 on: Jul 23, 2018
:D TYSM


bbburns21

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Excellent

 

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

For a complete list of videos, visit our video library