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
Sympathetic stimulation typically increases the depth and rate of respirations to enhance oxygen delivery to tissues during stress or physical activity.
Choice B rationale
Sympathetic stimulation does not directly increase lung perfusion. It primarily affects the airways to increase airflow.
Choice C rationale
Sympathetic stimulation increases the respiratory rate by activating the respiratory centers in the brain, preparing the body for increased oxygen demand during stress or physical activity.
Choice D rationale
Sympathetic stimulation does not decrease the respiratory rate. It typically increases both the rate and depth of respirations to meet the body's increased oxygen needs. .
Correct Answer is C
Explanation
Choice A rationale
Calcium and magnesium imbalances are less likely to influence Digoxin's effects compared to potassium and magnesium.
Choice B rationale
While chloride levels are important, potassium is more critical due to its significant impact on Digoxin’s action.
Choice C rationale
Correct, potassium and magnesium levels are crucial as imbalances can potentiate Digoxin toxicity or reduce its efficacy.
Choice D rationale
Sodium and calcium imbalances are less directly related to Digoxin efficacy compared to potassium and magnesium.
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