Which of the following nursing interventions should the nurse utilize when administering Dilantin (phenytoin) in a patient who has a known seizure disorder?

Choice A rationale
Bananas are a rich source of potassium. For a patient taking furosemide (a diuretic that can cause loss of potassium) and with a low serum potassium level, incorporating bananas into their diet can help increase their potassium levels.
Choice B rationale
White rice is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.
Choice C rationale
While cabbage does contain some potassium, it is not as high in potassium as other foods, such as bananas.
Choice D rationale
Cheddar cheese is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.

Based on the provided exhibits, the client is most likely experiencingBacterial Meningitis. This is indicated by symptoms such as severe headache, fever, sensitivity to light, nuchal rigidity, and the presence of Neisseria meningitidis in the cerebrospinal fluid with elevated white blood cell count and lactic acid levels.

The two actions the nurse should take to address this condition are:

1. Anticipate administering antibiotic therapy- This is crucial as the client’s culture and sensitivity test indicates the presence of Neisseria meningitidis, which requires antibiotic treatment.
2. Place the client on droplet precautions- Since Neisseria meningitidis can be spread through respiratory droplets, it is important to implement droplet precautions to prevent the spread of infection.

The two parameters the nurse should monitor to assess the client’s progress are:

1. Level of consciousness- Monitoring for changes in the client’s level of consciousness can indicate the effectiveness of the treatment and the progression of the disease.
2. Increased intracranial pressure- Signs of increased intracranial pressure can include changes in vital signs, level of consciousness, and the presence of headache or vomiting. Monitoring these signs is important in the management of bacterial meningitis.