NUR 210 QUIZ2 UNITS 1-3

The nurse is providing instructions to a client with seizures who will be taking phenytoin. Which statement, if made by the client, would indicate an understanding of the information about this medication?

• I need to perform good oral hygiene, including flossing and brushing my teeth.

• I would try to avoid alcohol, but if I'm not able to, I can drink alcohol in moderation.

• I need to take my medication before coming to the laboratory to have a blood level drawn.

• I need to monitor for side effects and adjust my medication dose depending on how severe the side effects are.

A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse identify as the cause of the client's complaint?

• Doxycycline

• Atropine sulfate

• Acetylsalicylic acid

• Diltiazem hydrochloride

The patient is prescribed a non-selective COX inhibitor. The client's record, would alert the nurse to consult with the primary health care provider (PHCP)?

• Phenytoin

• Primidone

• Acetaminophen

• Warfarin sodium

Phenytoin 100 mg to be given orally 3 times daily has been prescribed to a client. The home health nurse visits the client and provides instructions regarding the medication. Which statement, if made by the client, would indicate an understanding of the instructions?

• I will use a soft toothbrush to brush my teeth.

• It's okay to break the capsules to make it easier for me to swallow them.

• If I forget to take my medication, I can wait until the next dose and eliminate that dose.

• If my throat becomes sore, it's a normal effect of the medication, and it's nothing to be concerned about.

A client is receiving phenytoin. The nurse assesses the results of which laboratory test to monitor for side and adverse effects of this medication?

• Liver function test

• CBC

• Blood glucose level

• Serum potassium level

The nurse has a prescription to administer phenytoin 100 mg mixed in 5% dextrose in water by the intravenous (IV) route to a client. After reading this prescription, which action would the nurse take?

• Prepare the solution for administration.

• Contact the agency pharmacy to obtain the medication.

• Contact the primary health care provider (PHCP) to question the prescription.

• Mix the medication in the prescribed solution and attach an in-line filter.

Which of the following questions would be most appropriate for the nurse to ask a client who is suspected of having migraine headaches?

• Do you have frequent earaches?

• Do you experience sinus headaches?

• Have you had migraine headaches?

• Are you allergic to pollen or molds?

The nurse is assisting in the care of a client being discharged on phenytoin 100 mg 3 times daily. When providing client teaching about this medication, the nurse would be sure to include which points? Select all that apply.

• Use a soft toothbrush while taking this medication.

• If a dose is missed, just wait until the next one is due.

• The medication may turn the urine pink, red, or brown.

• Alcohol needs to be avoided while taking this medication.

• Sore throat is a common side effect of the medication and is nothing to worry about.

To determine whether the client is experiencing akathisia as an adverse effect of the medication haloperidol, what would the nurse observe the client for?

• Lip smacking

• Puffing of the cheeks

• Rapid tongue movements

• restlessness or constant generalized movement

A client has a lithium level of 2.4 mEq/L. The nurse would immediately assess the client for which sign or symptom?

• Diarrhea

• Weakness

• Blurred vision

• Cardiac dysrhythmias