(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 ["1.5"]
Explanation
Use the formula:
Volume to administer = Ordered dose ÷ Concentration available
Volume = 45 mg ÷ 30 mg/mL
Volume = 1.5 mL
Final Answer:1.5 mL
Syringe #1 should be shaded at 1.5 mL(to the tenths place).
Correct Answer is A
Explanation
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedgekeeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priorityis to monitor for complications such as compromised circulation.
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