NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX BEST EXAM GUARANTEED SUCCESS 100% VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+

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