During a routine appointment, a patient with a
history of seizures is found to have a phenytoin (Dilantin) level of 23 mcg/mL. What concern will the nurse have, if any?
a. The patient is at risk for seizures because the drug level is not at a therapeutic level.
b. The patient's seizures should be under control because this is a therapeutic drug level.
c. The patient's seizures should be under control if she is also taking a second antiepileptic drug.
d. The drug level is at a toxic level, and the dosage needs to be reduced.
ANS: D
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