A female client taking phenytoin (Dilantin) has notified the ...

[sabina]

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]

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.

[sabina]

Excellent

[rachel]

Thanks for the timely response, appreciate it