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 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.
Correct Answer is A
Explanation
A. Buck extension: Buck extension traction is commonly used for lower extremity fractures, particularly those involving the femur or hip in adolescents. It is a type of skin traction that helps to relieve muscle spasms and align the bone during the healing process.
B. Cervical skin: Cervical skin traction, such as a head halter, is used to provide traction to the cervical spine (neck) for conditions like muscle spasms or minor cervical fractures. It is not used for lower extremity fractures, as it applies force to the head and neck.
C. Dunlop: Dunlop traction is a type of skin traction specifically used for supracondylar fractures of the humerus in children. It involves the arm being positioned at a right angle to the body with traction applied in two directions. It is not indicated for lower extremity fractures..
D. Bryant: Bryant's traction is used primarily for young children with hip fractures or congenital hip issues. It involves elevating the buttocks off the bed and is not typically prescribed for adolescents with lower extremity fractures.
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