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Question 20: A client states to his nurse that "I was told by the doctor not to take one of my drugs because
it seems to have caused decreasing blood cells." Based on this information, which drug might the
nurse expect to be discontinued?
A. Prednisone
B. Timolol maleate (Blocadren)
C. Garamycin (Gentamicin)
D. Phenytoin (Dilantin)
Correct Answer: D
Explanation:
(A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is
metabolized by the liver. It has not been linked to blood dyscrasia. (C) Gentamicin is ototoxic and
nephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The
drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).
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