A nurse is reinforcing teaching with a female client who is taking phenytoin. Which of the following statements should the nurse include in the teaching?
"You can safely take this medication if you become pregnant."
"You can skip a dose of this medication if you are nauseated."
"You should expect to have blood work every 6 months while taking this medication."
"You might experience swollen gums while taking this medication."
The Correct Answer is D
A. Incorrect. Phenytoin is known to be a teratogenic medication, meaning it can cause birth defects. It is important for females of childbearing age to use effective contraception while taking phenytoin and to discuss pregnancy plans with their healthcare provider.
B. Incorrect. Skipping a dose of phenytoin can lead to changes in blood levels of the medication and may result in decreased seizure control. Nausea should be managed with the guidance of the healthcare provider.
C. Incorrect. Phenytoin can require regular monitoring of blood levels, but the frequency of blood work may vary based on the client's individual needs. Blood work is usually done more frequently than every 6 months, especially when starting or adjusting the medication.
D. Correct. Phenytoin can cause gingival hyperplasia, which leads to swollen and overgrown gums. This is a common side effect that clients should be informed about.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse must intervene if the AP leaves creases or folds in the stockings becausewrinkles and creasescreate uneven pressure points that can restrict blood flow and irritate the skin. Anti-embolic stockings are designed to provide smooth, graduated compression to promote venous return; any bunching or folding defeats this purpose and increases the risk of skin breakdown or thrombus formation.
Correct Answer is D
Explanation
A. Blood urea nitrogen measures kidney function, is not related to thyroid health.
B. Arterial blood gases are used to assess oxygen and carbon dioxide levels in the blood, not related to thyroid health.
C. Prothrombin time is a test used to assess blood clotting, not related to thyroid health.
D. Correct. Monitoring thyroid stimulating hormone (TSH. levels is crucial for assessing the function of the thyroid gland and adjusting levothyroxine dosage as needed.
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