Author Question: The nurse instructs a person taking phenytoin (Dilantin) that periodic blood tests will be ... (Read 39 times)

ec501234 · **on:** Jun 25, 2018

The nurse instructs a person taking phenytoin (Dilantin) that periodic blood tests will be necessary. The nurse explains that the laboratory checks will monitor for which potential medi-cation-induced change?

a. Potassium depletion
b. Liver damage
c. Increasing creatinine
d. Increasing sedimentation rates

Question 2

The patient refuses to take off her diamond wedding band prior to going to the operating room. What action should the nurse take first?

a. Document the patient's refusal to remove the jewelry.
b. Tape the ring to finger, covering the ring.
c. Request that the patient sign a waiver to release the hospital from responsibility.
d. Alert the surgery team to the presence of the jewelry.

voltaire123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Periodic blood tests are recommended for people taking phenytoin to monitor for liver damage.

Answer to Question 2

B
Taping the ring will protect the ring and secure it to the finger. Care must be taken not to wrap the tape too tightly. The nurse will also need to document the presence of the ring on the preo-perative checklist or in the nurse's notes. There is no need for a signature on a waiver. Most fa-cilities have policies in which the patient signs a release of responsibility for valuables. There is no need to notify the surgical team of the presence of the ring.