The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?
"I will need to take extra care of my teeth and gums while on this medication."
"I will be able to stop taking this drug once the seizures stop."
"I can go out for a beer while on this medication."
"I can skip doses if the side effects bother me."
The Correct Answer is A
A. "I will need to take extra care of my teeth and gums while on this medication.": Phenytoin can cause gum overgrowth (gingival hyperplasia), so taking extra care of oral hygiene is important.
B. "I will be able to stop taking this drug once the seizures stop.": Phenytoin is typically used as a long-term therapy for seizure control; stopping abruptly can lead to rebound seizures.
C. "I can go out for a beer while on this medication.": Alcohol consumption may interact with phenytoin and should be avoided or limited.
D. "I can skip doses if the side effects bother me.": Skipping doses of phenytoin can lead to inadequate seizure control and should not be done without consulting a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["28"]
Explanation
2 cups of coffee: 2 cups 8 oz/cup = 16 oz
1 soft drink: 12 oz
Total intake from 1500 to 2100 = 16 oz (coffee) + 12 oz (soft drink) = 28 oz
From 2100 to 2300 (2 hours):
No additional intake mentioned in the question.
Total intake from 1500 to 2300 = 28 oz (from 1500 to 2100)
Therefore, the total intake from 1500 to 2300 is 28 ounces.
Correct Answer is B
Explanation
A. Dobutamine is a sympathomimetic drug used to increase cardiac output in conditions such as heart failure. It is not an antidote for cholinergic drug overdose.
B. Atropine sulfate is the antidote for cholinergic drug overdose. It acts as a competitive antagonist to acetylcholine at muscarinic receptors, counteracting the effects of excessive cholinergic stimulation.
C. Atenolol is a beta-blocker used to manage hypertension and certain cardiac conditions. It is not an antidote for cholinergic drug overdose.
D. Bethanechol is a cholinergic agonist used to stimulate bladder contractions in urinary retention. It is not an antidote for cholinergic drug overdose; in fact, it would exacerbate cholinergic effects.
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