Nursing interventions and care
Nursing interventions and care ( 7 Questions)
A nurse is caring for a client who is receiving phenobarbital for a seizure disorder. The nurse should monitor the client for which of the following adverse effects of this controlled substance?
Hypertension is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause hypotension due to vasodilation.
Tachycardia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause bradycardia due to decreased cardiac output.
Insomnia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause sedation and sleepiness.
Rationale: Phenobarbital is a barbiturate that acts as a central nervous system depressant. It belongs to Schedule IV of controlled substances, which have a low potential for abuse and dependence compared to Schedule I, II, or III substances. Drowsiness is a common adverse effect of phenobarbital and other barbiturates.
Correct answer: d) Drowsiness
Rationale: Phenobarbital is a barbiturate that acts as a central nervous system depressant. It belongs to Schedule IV of controlled substances, which have a low potential for abuse and dependence compared to Schedule I, II, or III substances. Drowsiness is a common adverse effect of phenobarbital and other barbiturates.
Incorrect choices:
a) Hypertension: Hypertension is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause hypotension due to vasodilation.
b) Tachycardia: Tachycardia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause bradycardia due to decreased cardiac output.
c) Insomnia: Insomnia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause sedation and sleepiness.