The nurse is preparing to assist with blood collection on a newly ...

[student77]

The nurse is preparing to assist with blood collection on a newly admitted patient who has been taking phenytoin for several years. The provider has ordered a complete blood count and liver function tests.
 
  Which other blood test will the nurse discuss with the provider?
  a. Blood glucose
  b. Coagulation studies
  c. Renal function tests
  d. Serum electrolytes

Question 2

A patient has recently begun taking phenytoin (Dilantin) for a seizure disorder. The nurse notes a reddish-brown color to the patient's urine. Which action will the nurse take?
 
  a. Ask the provider to order a serum drug level.
  b. Reassure the patient that this is a harmless side effect.
  c. Report possible thrombocytopenia to the provider.
  d. Request an order for a urinalysis and creatinine clearance.

[pami445]

Answer to Question 1

ANS: A
Patients who have taken hydantoins for long periods might have an elevated blood sugar. The nurse should discuss this test with the provider.

Answer to Question 2

ANS: B
Reddish-brown urine is a harmless side effect of phenytoin. The nurse should reassure the patient. It is not necessary to order a serum drug level or renal function studies. It is not a symptom of thrombocytopenia.

[student77]

Wow, this really help

[miss.ashley]

Thanks for the timely response, appreciate it