A client receiving phenobarbital for seizure control has a temperature of 102°F, periorbital and oral edema, and an erythematous rash over the entire body. Which action by the nurse is the priority?
1. Give the phenobarbital as ordered.
2. Hold the phenobarbital and notify the health care provider of the client's condition.
3. Hold the phenobarbital and inquire of family members if these symptoms have been present previous to hospitalization.
4. Give the phenobarbital and notify the health care provider of the client's condition.
Correct Answer: 2
Rationale 1: There are many adverse effects reported with phenobarbital. Serious ones include Stevens–Johnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Rationale 2: There are many adverse effects reported with phenobarbital. Serious ones include Stevens–Johnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Rationale 3: There are many adverse effects reported with phenobarbital. Serious ones include Stevens–Johnson syndrome, so the medication would need to be held and the health care provider notified immediately. The family does not need to be contacted.
Rationale 4: There are many adverse effects reported with phenobarbital. Serious ones include Stevens–Johnson syndrome, so the medication would need to be held and the health care provider notified immediately.
Global Rationale: There are many adverse effects reported with phenobarbital. Serious ones include Stevens–Johnson syndrome, so the medication would need to be held and the health care provider notified immediately.
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