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NCLEX-RN · Question #729

A client states to his nurse that "I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells." Based on this information, which drug might the nurse…

The correct answer is D. Phenytoin (Dilantin). (A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is metabolized by the liver. It has not been linked to blood (C) Gentamicin is ototoxic andnephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

A client states to his nurse that "I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells." Based on this information, which drug might the nurse expect to be discontinued?

Options

  • APrednisone
  • BTimolol maleate (Blocadren)
  • CGaramycin (Gentamicin)
  • DPhenytoin (Dilantin)

How the community answered

(27 responses)
  • A
    4% (1)
  • B
    15% (4)
  • C
    4% (1)
  • D
    78% (21)

Explanation

(A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is metabolized by the liver. It has not been linked to blood (C) Gentamicin is ototoxic andnephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).

Topics

#phenytoin#blood dyscrasias#hematologic toxicity#drug side effects

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