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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: Epinephrine is not an antagonist for benzodiazepines. It is primarily used in the treatment of anaphylaxis and cardiac arrest.
Choice B rationale: Atropine is not an antagonist for benzodiazepines. It is used to increase heart rate and treat certain types of poisoning.
Choice C rationale: Flumazenil is a specific antagonist for benzodiazepines. It can be used to reverse the sedative effects of benzodiazepine overdose, such as in the case of the patient taking an excessive amount of lorazepam.
Choice D rationale: Naloxone is an opioid antagonist and would not be effective in reversing the effects of lorazepam overdose.

A. Reduced esophageal motility B. Improved bladder emptying C. Dilation of the pupils D. Decreased gastric secretions

Correct Answer is B

Explanation

Choice A rationale: Cholinergic agonists like bethanechol would typically increase esophageal motility, not reduce it.
Choice B rationale: Bethanechol is used to stimulate the bladder, promoting improved emptying in patients with urinary retention.
Choice C rationale: Cholinergic agonists can cause pupillary constriction, not dilation.
Choice D rationale: Cholinergic agonists generally increase, rather than decrease, gastric secretions.

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A patient is prescribed phenytoin for epileptic seizures. Which of the following is the priority for patient teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 32-year old female patient has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case?

Correct Answer is C

Explanation

The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?

Correct Answer is B

Explanation

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