A client is prescribed phenytoin daily for seizures. The nurse teaches the client about the importance of adhering to the dosage schedule based on the understanding that which of the following may occur if a single dose is missed?

A) CNS depression
B) Hypotension
C) Recurrence of seizures
D) Nystagmus


Ans: C
Feedback:
Recurrence of seizure activity may result from abrupt discontinuation of the drug, even when the anticonvulsant is being administered in small daily doses. Abrupt discontinuation of the drug does not cause CNS depression, hypotension, or nystagmus. CNS depression, hypotension, and nystagmus are adverse reactions of phenytoin.

Nursing

You might also like to view...

Following a car accident, a four-year-old child was admitted to the pediatric intensive care unit. Both parents were injured in the accident and have been unable to visit

The child's condition has stabilized, and the child is transferred to the surgical unit for the remainder of her hospitalization. The child has not expressed any feelings during the hospitalization. Which interventions might help the child express her feelings? 1. Asking the hospital chaplain to talk with the child 2. Use play therapy including mother, father, and child dolls. 3. Use journaling to allow the child to express herself. 4. Using humor by telling knock-knock jokes

Nursing

Which would be an appropriate nursing intervention for the child with a tension headache?

a. Assess for an aura. b. Maintain complete bed rest. c. Administer pharmacological headache relief measures. d. Assess for nausea and vomiting.

Nursing

Vaccinations for H1N1 are considered a __________

a. fixed indirect cost b. fixed direct cost c. variable indirect cost d. variable direct cost

Nursing

The staff is having a hard time getting an older adult patient to communicate. Which technique should the nurse suggest the staff use?

a. Allow the patient to reminisce. b. Try changing topics often. c. Involve only the patient in conversations. d. Ask the patient for explanations.

Nursing