1. A nurse is caring for a client who is taking phenytoin, for which of the following adverse effects should the nurse

monitor and report to the provider

a. Cognitive impairment

b. Tachycardia

c. Elevated blood pressure (HYPOTENSION and DYSRHYTHMIAS)

d. Tinnitus

Phenytoin (Dilantin) - Anticonvulsant. monitor for any manifestations of CNS effects (such as cognitive

impairment), notify the provider if they occur. (p. 96 ATI PHARM)

2. MISSING

3 MISSING

4. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat

angina. Which of the following instructions should the nurse include? Page 158

a. Stop taking the medication if you become dizzy (NEVER discontinue abruptly)

b. Check your pulse rate daily (Bradycardia, withhold if pulse under 50)

c. Expect to see an increase in your urinary output

d. Call you provider if you lose more than 1 pound per week (complication of decreased CO - weight gain - call

provider)

metropolol (Lopressor) - Beta Blockers. Beta1 - affects only the heart. Decreases HR - decreases myocardial

contractility

5. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing

the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse

take next?

A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though)

B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment)

C. Replace the solution with with 0.9 % sodium chloride

D. Give diphenhydramine IM

Rationale: If manifestations occur, stop transfusion (ATI’s specific to BLOOD TRANSFUSION, but wouldn’t you still give

epi?), notify provider, and then keep IV line open with NS (in this case, replace the bag with NS?) Then, Have epi ready

for IM or IV injection. Or do you elevate the legs? LOL