NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX Q& As BEST EXAM SOLUTION GUARANTEED SUCCESS 100% VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+ SCORE

Pharmacology → PRIORITY ONE • 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? Tachycardia +. c. Elevated blood pressure d. Tinnitus Rationale: phenytoin (Dilantin, Phenytek) : Classification: antiarrhythmics, anticonvulsants. Pharmacologic: Hydantoins. Pregnancy category: D. Indications: treatment/prevention of tonic-clonic (grand mal) seizures and complex partial seizures via enhancing inhibitory effects of GABA and decreases neuron firing. Also used as an antiarrhythmic, particularly for ventricular arrhythmias associated with digoxin toxicity & prolonged QT interval. Adverse effects: CNS effects (nystagmus, sedation, ataxia, double vision, cognitive impairment) notify providers if these occur, Gingival hyperplasia (softening and overgrowth of gum tissue, tenderness, and bleeding gums; maintain good oral hygiene), Skin rash (stop med if this occurs), Cardiovascular effects (dysrhythmias, hypotension), Endocrine and other effects (coarsening of focal features, hirsutism, and interference with vitamin D metabolism), and Interfering with vitamin K-dependent clotting factors causing bleeding in newborns. • . A nurse is assessing a client who is receiving via continuous IV infusion for labor augmentation. The nurse notes six contractions in a 10-minute period with a nonreassuring FHR. Which of the following actions should the nurse take first? a. Administer Terbutaline 0.25 mg subcutaneously b. Discontinue the oxytocin IV infusion c. Turn the client on the left side d. Apply oxygen at 10 L / min via face mask Rationale: Pharmacology 7.0 Chapter 32 page 253: Oxytocin (Pitocin): hormone, oxytocics, pregnancy category X. Uterine stimulants increase the strength, frequency, and length of uterine contractions. (contractions lasting longer than 60 secs, and occurring more frequently than every 2 to 3 min, stop the infusion, and notify the provider. Practice question from RN Pharmacology Practice Questions A: the priority question is for the nurse to place the client in lateral position.