Reduction of Risk PotentialQuestion 583 of 2368

A client taking phenytoin develops new confusion and slurred speech. Which action should the nurse take?

  1. Give the next dose and recheck the client in the morning
  2. Stop the medication abruptly
  3. Encourage fluids and reassess next shift
  4. Ask that a serum phenytoin level be checked immediately
Show answer

Correct answer: Ask that a serum phenytoin level be checked immediately

Levels above the therapeutic range can cause confusion. The level should be checked at the first sign of toxicity.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Central Nervous System: Phenytoin. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026