(PHARM) The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin (Dilantin). Which statement best indicates that the nurse's teaching has been successful?
"I should decrease my alcohol intake to a single drink per day."
"I should take my antacid an hour after my Dilantin."
"This medication may turn my urine orange."
"I should visit the dentist every 3 to 6 months while taking this medication."
The Correct Answer is D
A. Alcohol should generally be avoided or limited significantly, as it can interfere with seizure control and interact with phenytoin.
B. Antacids can interfere with phenytoin absorption; patients are usually advised to space them out by at least 2 hours, not just 1 hour.
C. Phenytoin does not typically cause urine to turn orange; this is more common with medications like rifampin or phenazopyridine.
D. Phenytoin can cause gingival hyperplasia (gum overgrowth), so regular dental visits every 3 to 6 months are important to monitor and manage oral health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Explaining the situation to the family is important, but it is not a prioritywhen the patient is in respiratory distress.
B. Establishing an IV line may be necessary later for treatment, but it does not immediately address the low oxygen saturationor respiratory compromise.
C. Raising the patient to a High Fowler’s positionhelps to maximize lung expansionand improve oxygenation, making it the first and most immediate action.
D. Notifying the charge nurse is appropriate afterthe nurse takes action to stabilize the patient’s airway and breathing.
Correct Answer is D
Explanation
A. Restricting movement can cause discomfort and is not the priority intervention to prevent serious complications.
B. Bandages should be snug but not tight, as tight wrapping can impair circulation.
C. In Bryant's traction, the buttocks should be slightly elevated off the bed, not resting on it, to maintain proper traction.
D. Neurovascular checks done frequentlyare criticalin Bryant’s traction to assess circulation, sensation, and movement. These checks help detect early signs of complications like compartment syndrome or impaired perfusion, making this the most important action.
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