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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is D
Explanation
D. Prednisone can suppress the immune system, making individuals more susceptible to infections. Sore throat can be a sign of an infection, and it's important for clients taking prednisone to report any signs of infection, including sore throat, to their healthcare provider promptly.
A. Prednisone can cause sodium retention and fluid retention, leading to increased blood pressure and other complications. Therefore, clients taking prednisone should generally aim to limit their sodium intake rather than increase it.
B. Prednisone is typically taken with food or milk to help minimize gastrointestinal irritation. Taking prednisone on an empty stomach may increase the risk of gastrointestinal side effects such as stomach upset or ulcers.
C. Weight gain, rather than weight loss, is a common side effect of prednisone. Prednisone can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain.
Clients should be advised to watch for signs of weight gain and discuss any significant changes with their healthcare provider.
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