The nurse is caring for a patient that has seizure disorder.
The nurse notes that the patient has reddened gums that bleed when oral care is given.
The nurse recognizes this finding as:
A sign of poor self-care.
A drug interaction with aspirin.
An adverse effect of the phenytoin.
A symptom of hepatotoxicity.
The Correct Answer is C
Choice A rationale
Poor self-care is not directly associated with reddened, bleeding gums in this context.
Choice B rationale
While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.
Choice C rationale
Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.
Choice D rationale
Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Constipation can be a side effect of Parkinson's disease and dopaminergic medications, but it is not a primary safety concern compared to the risk of injury.
Choice B rationale
Risk for injuries related to cardiovascular effects and peripheral vascular disease is a concern, but the risk of orthostatic hypotension presents a more immediate danger for falls.
Choice C rationale
Parkinson's disease and its treatments can cause orthostatic hypotension, significantly increasing the risk of falls and injury. This risk needs to be carefully managed in the patient's care plan.
Choice D rationale
Diarrhea is not commonly associated with Parkinson's disease or its treatments. Constipation is more prevalent due to both the disease and dopaminergic medication effects.
Correct Answer is A
Explanation
Choice A rationale
Treatment of narcotic dependence involves using a narcotics antagonist to block the effects of narcotics. This helps prevent relapse in patients recovering from narcotic addiction by decreasing cravings and withdrawal symptoms.
Choice B rationale
Treatment of alcohol dependence does not typically involve narcotics antagonists. Instead, medications like disulfiram or naltrexone are used to manage alcohol dependence.
Choice C rationale
Reversal of tachycardia is not an indication for a narcotics antagonist. Tachycardia is usually managed with medications like beta-blockers or calcium channel blockers.
Choice D rationale
Reversal of bronchoconstriction is not an indicator for narcotics antagonists. Bronchoconstriction is usually treated with bronchodilators such as albuterol or ipratropium.
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