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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While the client's health insurance status is important for financial considerations, it might not be relevant to the interprofessional team meeting.
B. The timing of the client's dressing change and vital signs are specific care details that may not be essential for the interprofessional team.
D. Correct. The client's difficulty ambulating is a significant change in their condition that may impact care decisions and require input from the interprofessional team.

A. Constipation B. Difficulty swallowing C. Urinary retention D. Clenched teeth

Correct Answer is D

Explanation

A. Constipation can be caused by various factors including pain medications, but it is not a direct indicator of unrelieved pain.
B. Difficulty swallowing may not be directly related to unrelieved pain from the herniated disc.
C. Urinary retention is more likely related to the anesthesia effects or nerve compression in the spine rather than unrelieved pain.
D. Correct. Clenched teeth or grimacing are often signs of unrelieved pain. These nonverbal cues can be important indicators of discomfort in patients who might not verbally express their pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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