A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?

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ATI Pharmacology Made Easy 4.0 The Hematologic System Questions

Question 1 of 5

A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The following are side effects of SSRI's EXCEPT:

Correct Answer: B

Rationale: SSRIs (e.g., fluoxetine) can cause rash as a hypersensitivity reaction, true. Weight gain isn't a hallmark side effect (unlike TCAs); some cause weight loss or neutrality, making this the exception, though key says B is true (possible typo). Sexual dysfunction (e.g., delayed ejaculation) is common, true. Anxiety can occur initially, true. GI symptoms like nausea are frequent. Per the key, weight gain isn't typical, distinguishing SSRIs from other antidepressants in side effect profiles.

Question 3 of 5

The client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?

Correct Answer: D

Rationale: Self-diagnosing with Tums masked a myocardial infarction as indigestion, a common misstep, and noting this educates without blame. Blaming the wife or husband is judgmental and unhelpful. Gladness she's there misses teaching opportunity. Stating self-diagnosis's risks highlights the need for medical evaluation, especially in older adults where cardiac symptoms mimic gastrointestinal issues, fostering awareness gently.

Question 4 of 5

Pharmacogenetics is a relatively new area within pharmacology. Which statement best describes the potential of this new area?

Correct Answer: A

Rationale: Pharmacogenetics tailors drugs to genetic profiles (e.g., CYP2C19 for clopidogrel), minimizing unpredictable idiosyncratic responses like rashes. Reducing drug numbers or errors isn't genetics-driven. Cost and efficacy improve indirectly. Customization prevents adverse reactions, its core potential.

Question 5 of 5

The patient has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The patient's current lithium level is 0.4. What will the nurse expect to assess in this patient?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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