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 ["15"]

Explanation

Step 1: Determine how many milligrams are in each milliliter of the suspension.

Total milligrams ÷ Total milliliters
25 mg ÷ 5 mL = 5 mg/mL

Step 2: Determine how many milliliters are needed to administer 75 mg.

Desired milligrams ÷ Milligrams per milliliter
75 mg ÷ 5 mg/mL = 15 mL

A. Treat nasal rhinitis with an over-the-counter antihistamine. B. If a medication dose is missed, wait until the next scheduled dose to take the medication. C. Expect diaphoresis as a side effect of the neostigmine. D. Take the medication 45 minutes before eating.

Correct Answer is D

Explanation

Choice A rationale:

Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.

Choice B rationale:

If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.

Choice C rationale:

Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.

Choice D rationale:

Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.

So, the correct answer is,

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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 preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

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?.