1. A nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the
client to monitor for and report which of the following adverse effects of this medication?
Anxiety
Skin Rash
Diarrhea
Metallic Taste
Skin rash
Phenytoin is an anti-epileptic medication used to treat partial seizures and generalized tonic chronic
seizures. Fenton can cause a rash that can progress to Stevens Johnson syndrome or toxic epidermal
necrolysis. If a rash develops, the client should notify the provider immediately and stop the use of
phenytoin.
2. a nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion. which of the
following resource should the nurse consult first regarding medication compatibility?
a. nurse manager
b. hospital pharmacist
c. health care provider
d. medication sales representative
b. hospital pharmacist
The greatest risk to the client is injury for medication error. Therefore, the nurse should consult the
hospital pharmacist first the pharmacist will have information about medication, including adverse
effects, recommended dosages, and drug incompatibilities.
, 3. A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma.
Which of the following statements by the client indicates an understanding of the teaching?
A. I'll rinse my mouth after taking this medication.
B. I'll take this medication when I get in attack
C. I'll take this medication once a day in the evening.
D. I'll use a spacer device when I inhale this medication.
C. I'll take this medication once a day in the evening.
Monte, Lucas, a Lotry modifier, is used to prevent asthma, exacerbations. The client should take it on a
daily basis, once a day in the evening.
4. A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client. Which of
the following is the priority assessment the nurse should complete?
A. Apical pulse rate
B. Blood pressure
C. Level of consciousness
D. Respiratory rate
D. Respiratory rate
(Airway, breathing, and circulation are the priority focus of the nurse at this time. Meperidine can cause
respiratory depression and the client's respiratory rate should be monitored prior to administering this
medication.)
5. A nurse is caring for a client who has atrial fibrillation and receives Digoxin daily. Before administering
this medication, which of the following actions should the nurse take?
A. Offer the client at light snack