A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.
The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

"I will notify my provider before taking any other medications.”.

"I have made an appointment to see my dentist next week.”.

"I'll be glad when my seizures stop so I can quit taking this medicine.”.

"I will take this medication with meals.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B rationale:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C rationale:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D rationale:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.

So, the correct answer is C, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B rationale:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C rationale:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D rationale:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.

So, the correct answer is, none of the above.

A. A client who has schizophrenia and is taking an antipsychotic medication. B. A client who has type 2 diabetes mellitus and is taking insulin. C. A client who has chronic pancreatitis and is taking pancreatic enzymes. D. A client who has hypertension and is taking a beta-adrenergic blocker.

Correct Answer is A

Explanation

Choice A rationale:

Antipsychotic medications can cause extrapyramidal symptoms, which include involuntary muscle contractions and tremors.

Choice B rationale:

Insulin, used to treat type 2 diabetes mellitus, does not typically cause extrapyramidal symptoms.

Choice C rationale:

Pancreatic enzymes, used to treat chronic pancreatitis, are not associated with extrapyramidal symptoms.

Choice D rationale:

Beta-adrenergic blockers, used to treat hypertension, do not typically cause extrapyramidal symptoms.

So, the correct answer is A, A client who has schizophrenia and is taking an antipsychotic medication.

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A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.Which of the following instructions should the nurse include when reinforcing the teaching?.

Correct Answer is A

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Correct Answer is A

Explanation

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A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.
The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.