Exhibits
The nurse has reviewed information regarding the adolescent's medication for home use with the guardian and adolescent.
Select the 2 statements that demonstrate the guardian's understanding of their child's medication.
"There is nothing we can do to minimize overgrowth of their gum tissue."
"They will need to take 400 IU of vitamin E while on this medication."
"We will need to periodically have their blood drawn to check phenytoin levels."
"This medication may cause their eyes to, at times, move quickly back and forth."
Correct Answer : C,D
A. "There is nothing we can do to minimize overgrowth of their gum tissue.": Incorrect. Gingival hyperplasia is a known side effect of phenytoin, but good oral hygiene and regular dental care can help minimize its severity.
B. "They will need to take 400 IU of vitamin E while on this medication.": Incorrect. Routine vitamin E supplementation is not standard or necessary with phenytoin unless specifically indicated by a provider.
C. "We will need to periodically have their blood drawn to check phenytoin levels.": Correct. Phenytoin has a narrow therapeutic index, so serum drug levels must be monitored regularly to avoid toxicity or subtherapeutic dosing.
D. "This medication may cause their eyes to, at times, move quickly back and forth.": Correct. Nystagmus is a known dose-related side effect of phenytoin, especially at higher levels.
E. "This drug won't decrease the effectiveness of their oral contraceptive medication.": Incorrect. Phenytoin is a hepatic enzyme inducer and can reduce the effectiveness of hormonal contraceptives, so alternate or additional contraceptive methods should be recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Maintain the child in a supine position: The child should not be in a supine (lying flat) position during enteral feedings, as this increases the risk of aspiration. The child should be positioned upright or at least 30 to 45 degrees to reduce this risk.
B. Discard gastric residuals prior to each feeding: While it is important to check gastric residuals before each feeding to ensure proper gastric emptying, residuals should not automatically be discarded. Depending on the volume of residuals, the feeding may need to be delayed or adjusted rather than discarded.
C. Warm the feeding in the microwave oven for 15 seconds: Feeding should never be warmed in the microwave because it can cause uneven heating, which could lead to burns. Feedings should be warmed using a safe method, such as a warm water bath, to ensure even temperature.
D. Administer the feeding to the child at 10 mL/min: Administering the feeding at a slow and controlled rate, such as 10 mL/min, is recommended to prevent discomfort and reduce the risk of aspiration. This rate allows the digestive system to process the feeding properly.
Correct Answer is C
Explanation
A. Hopscotch: Hopscotch typically requires the ability to hop on one foot and follow a structured set of rules, which may be too advanced for a 2-year-old. Toddlers are still developing coordination and motor skills, so activities like hopscotch are not age-appropriate.
B. Beginner sports: While toddlers can start developing coordination, organized sports (even beginner ones) usually require more advanced skills like following directions and teamwork, which may not be suitable for a 2-year-old.
C. Finger paints: Finger painting is an ideal activity for a 2-year-old. It encourages creativity, helps with fine motor skills, and is enjoyable for toddlers as they explore textures and colors. It is a developmentally appropriate form of play.
D. 30-piece puzzle: A 30-piece puzzle may be too complex for a 2-year-old. Toddlers typically enjoy simpler puzzles with larger pieces, which are easier for their developing fine motor skills and cognitive abilities. A simpler puzzle would be more appropriate.
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