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

d. Tinnitus

;

a. Cognitive impairment

=

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.”

b. “Check your pulse rate daily.”

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

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

;

b. “Check your pulse rate daily.”

=

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic

administration. After assessing the client’srespiratory 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

c. Replace the infusion with 0.9% sodium chloride

d. Give diphenhydramine IM

;

b. Administer epinephrine IM

=

A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor

augmentation. The nurse notes six contractions in a 10-min period with a nonreassuring FHR.

Which of the following actions should the nurse take first?

a. Administer terbutaline 0.25mg subq