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 B
Explanation
Choice A rationale
Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.
Choice B rationale
Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.
Choice C rationale
Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.
Choice D rationale
The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.
Correct Answer is D
Explanation
Choice A rationale
The half-life of a drug refers to the time it takes for the plasma concentration of a drug to reduce by half. It is not a primary consideration when substituting generic drugs for brand-name drugs.
Choice B rationale
Critical concentration is the amount of a drug needed to achieve therapeutic effects. While important, it is not the main factor in generic substitution.
Choice C rationale
Distribution describes how a drug is dispersed throughout the body's tissues and fluids. This factor is crucial for drug efficacy but not directly related to substituting generic drugs.
Choice D rationale
Bioavailability is the degree and rate at which an active drug ingredient is absorbed and becomes available at the site of action. Generic drugs must have the same bioavailability as brand-name drugs to ensure they are just as effective.
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