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 (HYPOTENSION and DYSRHYTHMIAS)

d. Tinnitus

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

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

2. 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?

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. Give diphenhydramine IM

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)