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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Acetaminophen is recommended for children because it is effective for pain and fever relief with a low risk of stomach irritation and other side effects.

Choice B rationale

Ibuprofen, though effective, may cause stomach irritation and should be used with caution in children.

Choice C rationale

Aspirin is not recommended for children due to the risk of Reye’s syndrome, a rare but serious condition.

Choice D rationale

Diflunisal is not recommended for children as it is primarily used for more severe pain and conditions like arthritis.

A. Increased jugular venous pressure. B. Liver enlargement. C. Increased pulse rate. D. Increased crackles in lung fields.

Correct Answer is D

Explanation

Choice A rationale

Increased jugular venous pressure is more commonly associated with right-sided heart failure, where blood backs up into the venous system.

Choice B rationale

Liver enlargement is also indicative of right-sided heart failure due to congestion of the liver blood vessels.

Choice C rationale

Increased pulse rate can occur in both left and right-sided heart failure but is not a specific indicator of worsening left-sided failure.

Choice D rationale

Increased crackles in lung fields indicate fluid accumulation in the lungs, a sign of worsening left-sided heart failure. Left-sided heart failure leads to pulmonary congestion due to inadequate pumping of blood from the left ventricle.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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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: