Neurological Question #47


The nurse is teaching a client on toxicity while taking phenytoin sodium. The nurse determines the teaching is successful after the client describes which of the following should be reported to the health provider? (select all that apply)


  1. Excessive alertness.
    • Rationale:
  2. Diplopia.
    • Rationale:
  3. Bruising.
    • Rationale:
  4. Slurred speech.
    • Rationale:



Phenytoin toxicity includes visual changes such as diplopia, slurred speech, staggering gait, lethargy, confusion, and nausea. There are other signs of toxicity; however, bruising and excessive alertness are not among the signs of toxicity.

Learning Outcomes

Test Taking Tip

Video Rationale