hard · NCLEX-RN pharmacology
A client is receiving phenytoin 100 mg three times daily for a seizure disorder. Which findings during the physical assessment require immediate nursing escalation? Select all that apply.
- Staggering gait and difficulty maintaining balance
- Swollen, bleeding gums that have grown over the teeth
- Development of a new blistering rash on the oral mucosa
- Uncontrolled horizontal eye movements during lateral gaze
- Pinkish-red discoloration of the urine
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