Neurological Disorders Q 134

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Which of the following symptoms would you expect to a client with a phenytoin level of 35 mg/dL?

  

     A. Ataxia

     B. Potassium deficit

     C. Neglect syndrome

     D. Tetraplegia

    

    

Correct Answer: A. Ataxia

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A therapeutic phenytoin level is 10 to 20 mg/dl. A level of 35 mg/dl signifies toxicity. Symptoms of this level of concentration include ataxia, tremor, slurred speech, nausea, and vomiting.

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Options B, C, & D: Phenytoin does not cause hypokalemia, neglect syndrome (client unaware of the existence of his or her paralyzed side), or tetraplegia (paralysis of all four extremities).

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