A client with a history of seizures is taking phenytoin (Dilantin). Based on this medication prescription, what is the client at an increased risk for developing?
1. Weight gain
2. Back pain
3. Headaches
4. Constipation
Correct Answer: 4
Rationale 1: Valproic acid (Depakote), not phenytoin, can cause an increase in appetite and weight.
Rationale 2: Headaches and back pain are not common side effects of phenytoin (Dilantin), and do not apply.
Rationale 3: Headaches and back pain are not common side effects of phenytoin (Dilantin), and do not apply.
Rationale 4: Phenytoin's CNS depressant effects decrease GI motility, producing constipation.
Global Rationale: Phenytoin's CNS depressant effects decrease GI motility, producing constipation. Valproic acid (Depakote), not phenytoin, can cause an increase in appetite and weight. Headaches and back pain are not common side effects of phenytoin (Dilantin), and do not apply. Headaches and back pain are not common side effects of phenytoin (Dilantin), and do not apply.
You might also like to view...
A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
a. Eliciting the cremasteric reflex is recommended. b. The glans is assessed for redness or lesions. c. Retracting the foreskin should be avoided until the infant is 3 months old. d. Any dirt or smegma that has collected under the foreskin should be noted.
During the initial assessment interview the client becomes anxious and evasive when the nurse asks
her if she has ever heard voices when no one else was around. The client asks, "What do you need to know that for?" The nurse should say a. "Please be honest about this," after repeating the question. b. "Sometimes questions seem highly personal, but we have our reasons for asking each one.". c. "What purpose do you think we might have in asking about whether you hear voices?" d. "I can see this subject makes you uncomfortable. We can discuss it at another time.".
A nurse is planning the care of a client receiving opioid analgesia. What is considered a priority in planning this care?
a. Monitoring respiratory rate b. Listening for adventitious breath sounds c. Assessing for speed of pupillary reaction d. Increasing the IV fluid flow rate
When a patient transfers independently for the first time,
A. watch the patient, but stay out of her personal space. B. put a transfer belt on the patient and be prepared to assist. C. move the chair at least three feet away from the bed. D. place the patient's strongest foot ahead of the weakest foot.