A client taking phenytoin (Dilantin) is admitted to the emergency department with a level of 30 mcg/mL. The nurse would evaluate for the severe side effect of:
a. gingival hyperplasia.
b. abdominal distention.
c. abdominal cramps.
d. hypertension.
ANS: A
Gingival hyperplasia is a common side effect of high phenytoin levels.
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Which of the following scenarios BEST demonstrates codependence?
a. taking the addict to the hospital when he or she begins to experience seizures and hallucinations b. attending Alanon, Alateen, or other support groups for family members of the person who is addicted c. cooking a good meal for the spouse after he or she has stopped bingeing with the drug of choice d. calling in to a spouse's work to report that he or she has the flu when he or she is sick from drugging
After reduction, the fractured part is:
a. Exercised as directed by the physical therapist b. Abducted c. Immobilized with a cast, traction, or other device d. Externally rotated
The nurse finds it necessary to monitor the progress of a task delegated to a UAP. What intervention is appropriate in this situation?
1. Tell the UAP, "I am not certain you can do this task." 2. Intervene only if it becomes absolutely necessary. 3. Plan to choose a more senior UAP for the task next time. 4. Plan to delegate only to those who are well experienced with the task next time.
Most cases of active pulmonary tuberculosis in older adults results from
A. A new infection due to Mycobacterium tuberculosis in a susceptible person not previously exposed to the organism B. Reactivation of a previously acquired Mycobacterium tuberculosis infection C. An infection caused by mycobacteria other than Mycobacterium tuberculosis D. An exotoxin-producing strain of Mycobacterium tuberculosis