A nurse is planning care for a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse expect to administer?

A. "Take the medication with an antacid if you have gastric distress.": Antacids can interfere with the absorption of phenytoin, reducing its effectiveness. It is not recommended to take phenytoin simultaneously with antacids.

B. "Dissolve the capsules in water prior to taking the medication.": Extended-release phenytoin capsules should be swallowed whole to maintain the time-release mechanism. Crushing or dissolving the capsules can cause rapid absorption and increase the risk of toxicity.

C. "Discontinue the medication if you experience a seizure.": Phenytoin should not be stopped abruptly, even if seizures occur, as this can precipitate status epilepticus. Any dosage concerns should be discussed with the healthcare provider before making changes.

D. "Use a soft-bristled toothbrush to brush your teeth.": Phenytoin can cause gingival hyperplasia, leading to swollen and bleeding gums. Using a soft-bristled toothbrush and practicing good oral hygiene helps minimize gum irritation and maintain oral health.

A. "I will notify your provider of your decision.": Informing the provider ensures that the client’s refusal is documented and that the healthcare team can discuss alternatives or address potential risks. This approach respects client autonomy while maintaining safety.

B. "Most people feel better after they have taken these medications.": This statement attempts to persuade the client rather than explore their reasons for refusal, which may not address underlying concerns or promote informed decision-making.

C. "If you do not take your medications, you will not recover.": Using scare tactics can create fear or mistrust and is not an effective way to encourage adherence. It does not support patient-centered care.

D. "Why are you refusing your medications?": Asking "why" can come across as judgmental and may make the client defensive. Open-ended, nonjudgmental questions are more effective for understanding the client’s perspective.