When reviewing the client's medical record, the nurse understands ...

[sdfghj]

When reviewing the client's medical record, the nurse understands that which of the following if found would contraindicate administering phenytoin (Dilantin) to a client? Select all that apply.
 
  A) Pregnancy
  B) Sinus bradycardia
  C) Hepatic disease
  D) Diabetes
  E) Atrial fibrillation

Question 2

A nurse understands that lorazepam (Ativan) is the drug of choice for treating status epilepticus but that its effects last for less than 1 hour.
 
  The nurse would expect which of the following to be prescribed along with lorazepam (Ativan) during status epilepticus? Select all that apply.
 
  A) Ethosuximide (Zarontin)
  B) Phenytoin (Dilantin)
  C) Ethotoin (Peganone)
  D) Zonisamide (Zonegran)

[JCABRERA33]

Answer to Question 1

Ans: A, B
Feedback:
The use of phenytoin is contraindicated in clients with known hypersensitivity to the drug, sinus bradycardia, sinoatrial block, Adam-Stokes syndrome, and second- and third-degree atrioventricular block and in clients who are pregnant or lactating.

Answer to Question 2

Ans: B
Feedback:
Due to the short effects of lorazepam (Ativan), a longer-acting anticonvulsant, such as phenytoin (Dilantin), is given to continue control of seizure activity.