Author Question: A female client taking phenytoin (Dilantin) has notified the nurse that she is pregnant. The nurse ... (Read 158 times)

sabina · **on:** Jul 24, 2018

A female client taking phenytoin (Dilantin) has notified the nurse that she is pregnant. The nurse knows that phenytoin (Dilantin) belongs to which pregnancy category?

1. A
2. B
3. C
4. D

Question 2

The choice of drug for epilepsy pharmacology is determined upon assessment of the client. Once a medication is selected, what type of dose is the client placed on?

1. Bolus dose
2. Life dose
3. Maximum dose
4. Low initial dose

AISCAMPING · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 4

Rationale 1: Phenytoin is a pregnancy category D drug.
Rationale 2: Phenytoin is a pregnancy category D drug.
Rationale 3: Phenytoin is a pregnancy category D drug.
Rationale 4: Phenytoin is a pregnancy category D drug.

Global Rationale: Phenytoin is a pregnancy category D drug.

Answer to Question 2

Correct Answer: 4

Rationale 1: A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change.
Rationale 2: A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change.
Rationale 3: A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change.
Rationale 4: The client is placed on a low initial dose that is gradually increased until seizure control is achieved or the side effects of the drug prevent additional increases in dose.

Global Rationale: The client is placed on a low initial dose that is gradually increased until seizure control is achieved or the side effects of the drug prevent additional increases in dose. A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change. A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change. A bolus dose or maximum dose could cause potentially dangerous side effects to occur; and while clients might be continued indefinitely on a particular antiseizure medication, the dose might change.