A nurse is caring for a client who has a history of epilepsy and is taking phenytoin. The nurse notes that the client has swollen and bleeding gums. What is the most appropriate action for the nurse to take?
Advise the client to stop taking phenytoin and report to the doctor
Instruct the client to use a soft toothbrush and floss gently
Administer an oral antiseptic rinse to the client
Refer the client to a dentist for evaluation and treatment
The Correct Answer is B
The correct answer is B. Choice A rationale: Stopping phenytoin abruptly can dangerously lower the seizure threshold, increasing the risk of status epilepticus or severe recurrent seizures. Choice B rationale: Gingival hyperplasia is a common side effect of phenytoin; excellent oral hygiene, including gentle brushing and flossing, helps to control plaque and minimize gum overgrowth. Choice C rationale: An antiseptic rinse offers temporary relief from inflammation but does not address the primary mechanism of the phenytoin-induced gum overgrowth, which requires mechanical cleaning. Choice D rationale: While a dentist is consulted for severe cases or surgical intervention, the nurse's first and most essential action is to teach necessary daily oral hygiene techniques to manage the condition.
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Correct Answer is B
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Correct Answer is B
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