(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 ["447.2"]
Explanation
-
Order:Zithromax 500 mg orally, daily
Child’s Weight:82 pounds
Safe Dose Range:10–12 mg/kg/day
Available Form:250 mg tablets
Question:What is the daily safe dose range for this child? - Convert weight to kilograms:
82 lb ÷ 2.2 = 37.3 kg(rounded to 1 decimal place) - Calculate safe dose range:
Minimum:372.7 mg/day
Maximum:447.2 mg/day
Final Answer:Safe dose range: 372.7 mg to 447.2 mg per day
Minimum dose:10 mg × 37.3 kg = 373.0 mg/day
Maximum dose:12 mg × 37.3 kg = 447.6 mg/day
Round to tenths as instructed:
Correct Answer is D
Explanation
A. Aspiration can occur in later stages of Parkinson disease due to impaired swallowing and muscle coordination, but it is not an initial symptom.
B. Dementia may develop as the disease progresses, but it is not typically seen in the early stages.
C. Akinesia, or the absence or loss of voluntary movement, may appear later but is not usually the first sign.
D. Pill-rolling movements of the hand(a type of resting tremor) are often one of the earliest signsof Parkinson disease and commonly prompt individuals to seek medical evaluation.
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