Difficulty: Medium
Average Score: 72%
Simulated
A nurse is caring for a client who was prescribed phenytoin. Which of the following adverse effects of this medication should the nurse report to the provider?
Correct answer
C
Rationale
The correct answer is C: Ataxia. Phenytoin is an antiepileptic medication that can cause ataxia, which is a condition characterized by loss of coordination and unsteady movements. Ataxia can be a sign of toxicity and requires immediate attention from the provider to adjust the dosage or consider alternative treatments.
A: Gingival hyperplasia is a common side effect of phenytoin but is not typically considered an urgent issue requiring immediate provider notification.
B: Drowsiness is a common side effect of phenytoin and may not necessarily indicate toxicity.
D: Hirsutism, or abnormal hair growth, is not typically associated with phenytoin use and is not a known adverse effect of the medication.
Therefore, the nurse should report ataxia to the provider as it may indicate a serious problem with the medication.
A: Gingival hyperplasia is a common side effect of phenytoin but is not typically considered an urgent issue requiring immediate provider notification.
B: Drowsiness is a common side effect of phenytoin and may not necessarily indicate toxicity.
D: Hirsutism, or abnormal hair growth, is not typically associated with phenytoin use and is not a known adverse effect of the medication.
Therefore, the nurse should report ataxia to the provider as it may indicate a serious problem with the medication.