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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin).

Which of the following instructions should the nurse include?

(Select all that apply.).

Avoid drinking grapefruit juice while taking this medication.

Brush your teeth gently with a soft-bristled toothbrush

Wear a medical alert bracelet or necklace at all times.

Stop taking this medication if you develop a rash or fever.

Have your blood levels checked regularly as directed by your provider.

Answer and Explanation

Correct Answer : B,C,E

The correct answer is B, C, and E.

Phenytoin (Dilantin) is an anticonvulsant medication that is used to control seizures.

It can have several side effects, some of which are serious and require medical attention.

Here are some explanations for each choice:.

A. Avoid drinking grapefruit juice while taking this medication.

This is wrong because grapefruit juice does not interact with phenytoin. However, grapefruit juice can affect the levels of other medications, such as statins, calcium channel blockers, and some antidepressants.

B. Brush your teeth gently with a soft-bristled toothbrush. This is right because phenytoin can cause gingival hyperplasia, which is an overgrowth of the gums that can lead to bleeding, infection, and difficulty chewing.

To prevent this, patients should practice good oral hygiene, avoid alcohol and tobacco, and see a dentist regularly.

A. Avoid drinking grapefruit juice while taking this medication B.

Brush your teeth gently with a soft-bristled toothbrush C.

Wear a medical alert bracelet or necklace at all times D.

Stop taking this medication if you develop a rash or fever E.

Have your blood levels checked regularly as directed by your provider

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Correct Answer is A

Explanation

The correct answer is A.

Dehydration.

Poor skin turgor means that the skin takes longer to return to its normal position after being pinched or pulled.

This is a sign of dehydration, which means the body does not have enough fluid.

Dehydration can be caused by not drinking enough water, vomiting, diarrhea, fever, diabetes, or other conditions that affect fluid balance.

Choice B is wrong because malnutrition does not directly affect skin turgor.

Malnutrition means the body does not get enough nutrients from food.

This can cause various problems, such as weight loss, muscle wasting, poor wound healing, and infections.

However, malnutrition does not cause the skin to lose its elasticity.

Choice C is wrong because loss of subcutaneous fat does not cause poor skin turgor.

Subcutaneous fat is the layer of fat under the skin that helps insulate the body and store energy.

As people age, they tend to lose some subcutaneous fat, especially in the face and hands.

This can make the skin look thinner and more wrinkled, but it does not affect how quickly the skin snaps back after being pinched.

Choice D is wrong because reduced collagen fibers do not cause poor skin turgor.

Collagen is a protein that gives the skin its strength and structure.

As people age, they produce less collagen, which can make the skin sag and lose firmness.

However, collagen does not affect the skin’s ability to retain water and return to its normal shape after being stretched.

Normal ranges for skin turgor vary depending on the age and location of the skin.

In general, healthy skin should return to its normal position within 2 seconds after being pinched.

In children and young adults, skin turgor can be tested on the abdomen or forearm.In elderly people, skin turgor can be tested on the clavicle (collar bone), sternum (breastbone), forehead, or inner thigh.These sites are less affected by skin wrinkling and aging.

A. Trim nails straight across and file edges smoothly. B. Soak nails in warm water before trimming to soften them. C. Use a metal nail file or scissors to cut nails. D. Apply a clear nail polish to protect nails from cracking. E. Report any signs of infection or inflammation around nails.

Correct Answer is ["A","B","E"]

Explanation

The correct answer isA, B, and E.

The nurse should instruct the patient to do the following:.

• Trim nails straight across and file edges smoothly.

• Soak nails in warm water before trimming to soften them.

• Report any signs of infection or inflammation around nails.

These are good practices for nail hygiene and health, especially for the elderly who may have dry, brittle or thickened nails.Trimming nails straight across and filing them prevents ingrown nails and reduces the risk of injury or infection.Soaking nails in warm water makes them easier to cut and less likely to crack or split.Reporting any signs of infection or inflammation around nails is important to prevent complications and get appropriate treatment.

Choice C is wrong because using a metal nail file or scissors to cut nails can damage the nail plate and cause splitting or tearing.Choice D is wrong because applying a clear nail polish to protect nails from cracking is unnecessary and may worsen nail health by trapping moisture and bacteria under the polish.

To maintain healthy nails, the elderly should also scrub the underside of their nails with soap and water, moisturize their nails and cuticles, avoid biting or chewing their nails, eat nutritious foods rich in calcium and vitamins B and C, and use sterilized nail grooming tools.

:Fingernail Care for the Elderly - assisting hands-il-wi.com:Fingernails: Do’s and don’ts for healthy nails - Mayo Clinic:Nail Hygiene | CDC - Centers for Disease Control and Prevention.

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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin). Which of the following instructions should the nurse include? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

The nurse is assessing an elderly patient’s skin turgor and notes that it is poor. The nurse understands that this finding may be due to which of the following reasons?

Correct Answer is A

Explanation

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following? (Select all that apply.).

Correct Answer is ["A","B","E"]

Explanation

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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin).

Which of the following instructions should the nurse include?

(Select all that apply.).