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

i. Phenytoin: Anticonvulsant, Antiarrhythmic. Adverse effects: suicidal thoughts, ataxia, agitation,

confusion, dizziness, drowsiness, dysarthria. (davis drug guide).

b. Tachycardia

c. Elevated Blood Pressure

d. Tinnitus

2. A nurseis teaching a client who has a history ofacute myocardial infarction about taking metoprolol totreat angina.

Which of the following instructions should the nurse include?

a. “Stop taking the medication if you become dizzy.”

i. Advise pt. To sit or lie down if experiencing dizziness or faintness

b. “Check your pulse rate daily.”

i. Adverse effects is bradycardia. Monitor patient’s pulse. If below 60/min, hold medication and

notify provider. Pg.263 ati 6.0

c. “Expect to see an increase in your urinary output.”

d. “Call your provider if you lose more than 1 lb per week.”

3. 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

b. Administer epinephrine IM

i. Anaphylactic reaction: Treat with epinephrine, bronchodilators, and antihistamines. Provide

respiratory support, and inform the provider. Pg.36 (ati 7.0)

c. Replace the infusion with 0.9% sodium chloride

d. Givediphenhydramine IM