After teaching a client and family about prescribed phenytoin therapy, the nurse determines that the teaching was successful when they
identify that which of the following should be reported to the primary health care provider as possibly indicating toxicity? Select all that apply.
A) Ataxia
B) Nystagmus
C) Slurred speech
D) Lethargy
E) Diplopia
A) Ataxia
C) Slurred speech
D) Lethargy
Signs suggesting phenytoin toxicity that need to be reported include slurred speech, ataxia, lethargy, dizziness, nausea, and vomiting.
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Which of the following statements is true about assessing a child in pain? The pain assessment is
A) one-dimensional. B) multidimensional. C) subjective only. D) objective only.
Calculate the alveolar ventilation of a patient in the postanesthesia care unit, following general anesthesia, if the patient inhales 400 mL of air in each breath 10 times per minute.
A) 1.5 L/min B) 2.0 L/min C) 2.5 L/min D) 3.0 L/min
The nurse is planning care for a client admitted with a snakebite to the right leg. With whom should the nurse collaborate?
a. The facility's neurologist b. The regional poison control center c. The physical therapy department d. A herpetologist (snake specialist)
Marcy, a charge nurse on the floor, calls to say that she forgot to chart the 1400 dose of chlorpromazine (Thorazine) for Mrs. Fritz. She asks, "Please sign it for me. You saw me give it just before we counted the narcotics at the change of shift
" The legal responsibility of the nurse is to: A) Sign out psychoactive medications for other nurses because medications are so closely monitored B) Forbid the LPN/LVN to administer psychoactive medications C) Support the charge nurse's request, because this is a direct request from a supervisor D) Require only the nurse who gives medications to sign for them