A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
Taking phenytoin diminishes potassium levels.
Monitor for gingival hyperplasia.
Taking ginkgo biloba increases phenytoin levels.
Minimize exposure to sunlight.
The Correct Answer is B
B. Phenytoin is associated with gingival hyperplasia, which is an overgrowth of gum tissue. It's essential for clients taking phenytoin to maintain good oral hygiene and receive regular dental check-ups to monitor for this side effect.
A. Phenytoin is not known to directly diminish potassium levels. However, it can cause a variety of electrolyte imbalances, including hyponatremia (low sodium levels) and hypocalcemia (low calcium levels), but not typically hypokalemia (low potassium levels).
C. Ginkgo biloba is an herbal supplement that does not interact with phenytoin.
D. Phenytoin can cause photosensitivity reactions in some individuals, leading to an increased risk of sunburn. However, teaching on gingival hyperplasia is more important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The absence of headache indicates a therapeutic response to sumatriptan. Sumatriptan is specifically indicated for the acute treatment of migraine attacks with or without aura and the acute treatment of cluster headache episodes. The absence of headache indicates that sumatriptan has effectively relieved the headache symptoms.
A. Improved mood is not a direct therapeutic response to sumatriptan. While relieving headache pain may contribute to an improved mood, sumatriptan primarily targets headache symptoms rather than mood regulation.
B. Increased bone mass is not a therapeutic response to sumatriptan. Sumatriptan does not affect bone metabolism or bone mass. Therefore, changes in bone mass would not be related to sumatriptan therapy.
C. Sumatriptan is not used in the management of chest pain.
Correct Answer is B
Explanation
B. Headache, particularly a pounding headache or throbbing sensation, is a well-known side effect of nitroglycerin use. It occurs due to the vasodilatory effects of nitroglycerin, which can lead to dilation of blood vessels in the head and neck.
A. Ringing in the ears, also known as tinnitus, is not a common adverse effect of nitroglycerin. Tinnitus is typically associated with certain medications, exposure to loud noises, or underlying medical conditions such as inner ear disorders. It is not a recognized adverse effect of nitroglycerin.
C. Nitroglycerin is not known to increase blood pressure. In fact, it typically causes vasodilation and can lead to a decrease in blood pressure, especially when used sublingually or transdermally. Hypotension, rather than hypertension, is a potential adverse effect of nitroglycerin therapy.
D. Polyuria, or excessive urination, is not a recognized adverse effect of nitroglycerin. Polyuria may occur as a result of other medications or underlying medical conditions affecting renal function, but it is not directly associated with nitroglycerin use.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.