The nurse is assessing a patient who is prescribed Phenytoin for a seizure condition. Which adverse reaction will the nurse monitor the patient for during the motor-musculoskeletal assessment?
1) Osteoporosis
2) Ataxia
3) Muscle pain
4) Myopathy
ANS: 2
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The parents of a client who committed suicide are observed arguing in the emergency department waiting area. When planning care, which nursing diagnosis is most appropriate?
A) Risk for violence B) Ineffective family coping C) Anxiety D) Situational low self-esteem
A client with chronic renal failure has begun treatment with a colony-stimulating factor. What medication does the nurse anticipate administering to the client that will promote the production of blood cells?
A) Etanercept (Enbrel) B) infliximab (Remicade) C) Epoetin alfa (Epogen) D) Adalimumab (Humira)
A nurse is caring for a patient during the acute phase of the burn. The nurse knows he is responsible for what?
A) Restricting visitors to prevent infection B) Closely scrutinizing the burn wound to detect early signs of infection C) Cleaning the patient's room D) Maintaining the patient in a sterile environment
A nurse is asking a more senior nurse for suggestions regarding consulting and collaborating with an attorney. Which combination of suggestions by the senior nurse for consulting and collaborating with attorneys would be correct?
a. Choose an attorney from the yellow pages and keep costs sensible. b. Be attentive and do not set your own course. c. Retain a specialist and do not notify your carrier of a possible liability until you are sure. d. Weed through the writing and set your own course.