A patient is prescribed phenytoin for epileptic seizures. Which of the following is the priority for patient teaching?
Teach the patient to adjust the dose according to the presence of symptoms.
Tell the patient to take the medication with meals.
Inform the patient about the prevention of gingival hyperplasia.
Teach the patient to avoid the abrupt cessation of treatment.
The Correct Answer is D
Choice A rationale: Adjusting the dose based on symptoms is not appropriate for phenytoin. It should be taken consistently as prescribed.
Choice B rationale: While taking phenytoin with meals is a general recommendation, it is not the priority teaching point.
Choice C rationale: Informing the patient about the prevention of gingival hyperplasia is important but not the top priority.
Choice D rationale: Teaching the patient to avoid the abrupt cessation of treatment is crucial. Abruptly stopping phenytoin can lead to seizures, and patients should be advised to taper the medication under medical supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Correct Answer is C
Explanation
Choice A rationale: While a decreased frequency of migraine headaches is a positive outcome, it does not directly indicate the immediate therapeutic effect of a sumatriptan (a serotonin receptor agonist). It may suggest a preventive effect over time.
Choice B rationale: Complete absence of migraine headaches is a positive outcome, but it is not always achievable. Immediate cessation of all headaches might not be realistic with every dose.
Choice C rationale: This is correct. Sumatriptan, a serotonin receptor agonist, is designed to terminate or relieve an ongoing migraine headache when administered during an attack. The patient reporting the termination of the migraine headache after drug administration suggests the desired therapeutic effect.
Choice D rationale: Increased nausea is not a desired therapeutic effect of sumatriptan. Sumatriptan is used to relieve the symptoms of migraines, including nausea, not exacerbate them.
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