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 ["A","B","C","D"]
Explanation
A. Encourage the child to take responsibility for his actions: While ADHD affects attention and impulse control, it's crucial to teach children accountability for their behavior. This helps them develop self-awareness, learn from mistakes, and foster a sense of control over their actions
B. Maintain a consistent routine at home: Children with ADHD benefit from a structured and predictable environment. A consistent routine helps them feel secure, reduces anxiety, and supports better management of their symptoms, including focus and behavior.
C. Provide frequent breaks during homework: Frequent breaks during homework or tasks help children with ADHD stay focused and prevent frustration. This is an effective strategy to improve concentration and task completion.
D. Administer stimulant medication in the morning: Stimulant medications for ADHD, such as methylphenidate or amphetamines, are usually administered in the morning to help manage symptoms throughout the day. This helps avoid any interference with sleep at night.
E. Limit the child's involvement in physical activities: Physical activity can actually be beneficial for children with ADHD, as it helps them release excess energy and improve focus. Exercise can be a helpful outlet for managing symptoms.
Correct Answer is B
Explanation
A. "You should chill your medication before administration." Insulin should not be chilled before administration. It should be stored in a cool place, but administering insulin directly from the refrigerator can cause discomfort.
B. "You should rotate sites when administering the medication." Rotating injection sites helps prevent tissue damage and the formation of lumps or scar tissue. It is recommended to rotate sites within the same area (e.g., abdomen, thigh, etc.) to ensure absorption and prevent complications.
C. "You should administer your medication at a 45-degree angle." Insulin should generally be administered at a 90-degree angle for subcutaneous injection, not a 45-degree angle. A 45-degree angle may be appropriate.
D. "You should administer your insulin into a muscle." Insulin should be administered subcutaneously (into the fat layer just under the skin), not into the muscle. Injecting insulin into a muscle can alter its absorption rate and may cause irritation or pain.
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