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.
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.
You might also like to view...
Which of the following services are typically performed by psychiatric nurses employed in managed care organizations? Standard Text: Select all that apply
1. Performing mental health assessments 2. Scheduling appointments for therapy 3. Providing stress management classes 4. Contacting medication prescribers to arrange for changes 5. Triaging initial requests for services
A nurse is admitting a client with a new diagnosis of a personality disorder. Which of the following would make the nurse question this diagnosis? (Select all that apply.)
1. The client has been diagnosed with sickle cell anemia. 2. The client has an inflated self-appraisal and feels a sense of entitlement. 3. The client has a history of a substance use disorder. 4. The client is odd and eccentric but not delusional. 5. The client has an intellectual developmental disorder.
An individual trained as a nurse in South Africa has set a personal goal to practicing nursing in the United States. What issue should this person be prepared to address to meet this personal goal?
1. Converting U.S. money 2. Comparable skill level 3. Living accommodations 4. Transportation to the hospital
Your patient is concerned about his inability to speak clearly due to an infection in the upper respiratory system. Which structure serves as the patient's resonating chamber in speech?
A) Trachea B) Pharynx C) Paranasal sinuses D) Larynx