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Author Question: A client taking phenytoin (Dilantin) is admitted to the emergency department with a level of 30 ... (Read 52 times)

Lisaclaire

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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.


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mcni194

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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.


Lisaclaire

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Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

chereeb

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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