Page 2089 - Saunders Comprehensive Review For NCLEX-RN

seizures. During the assessment, the nurse notes that the client is taking birth
control pills. Which information should the nurse include in the teaching
plan?
1. Pregnancy must be avoided while taking phenytoin.
2. The client may stop the medication if it is causing severe
gastrointestinal effects.
3. There is the potential of decreased effectiveness of birth control
pills while taking phenytoin.
4. There is the increased risk of thrombophlebitis while taking
phenytoin and birth control pills together.
726. The nurse is caring for a client in the emergency department who has been
diagnosed with Bell’s palsy. The client has been taking acetaminophen, and
acetaminophen overdose is suspected. Which antidote should the nurse
prepare for administration if prescribed?
1. Pentostatin
2. Auranofin
3. Fludarabine
4. Acetylcysteine
727. Meperidine has been prescribed for a client to treat pain. Which side and
adverse effects should the nurse monitor for? Select all that apply.
1. Diarrhea

2. Tremors

3. Drowsiness
4. Hypotension

5. Urinary frequency

6. Increased respiratory rate
728. A client is taking the prescribed dose of phenytoin to control seizures.
Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140
mcmol/L). Which finding would be expected as a result of this laboratory
result?
1. Hypotension
2. Tachycardia
3. Slurred speech
4. No abnormal finding
729. The client arrives at the emergency department complaining of back spasms.
The client states, “I have been taking 2 to 3 aspirin every 4 hours for the last
week, and it hasn’t helped my back.” Since acetylsalicylic acid intoxication is
suspected, the nurse should assess the client for which manifestation?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Photosensitivity
730. A client with trigeminal neuralgia is being treated with carbamazepine,
400 mg orally daily. Which value indicates that the client is experiencing an

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