Which of these self-care measures should be emphasized in client education regarding phenytoin?

Gradually reduce prescribed dose if seizures do not occur for one month

Expect green urine due to medication metabolites

Brush after every meal and floss teeth daily

Instill mineral oil into both ears once a week

Answer and Explanation

The Correct Answer is C

A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.

B) Expecting green urine is not associated with phenytoin. This statement is not accurate.

C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.

D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.

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Correct Answer is C

Explanation

A) Serum creatinine is an important marker of renal function, but specific gravity is more directly related to urine concentration and kidney function.

B) Troponin levels are primarily associated with cardiac function, not renal function.

C) Assessing specific gravity helps evaluate the kidney's ability to concentrate urine and is a valuable indicator of renal function.

D) Sodium levels can be important in assessing electrolyte balance but are not the primary indicator of renal function.

A. "Take the digoxin at bedtime." B. "Eat a diet high in bran, fiber, and calcium." C. "You must be able to check your pulse." D. "Don't take digoxin if your heart rate exceeds 90 beats per minute."

Correct Answer is C

Explanation

a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.

b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.

c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.

d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.

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Which of these self-care measures should be emphasized in client education regarding phenytoin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is concerned about renal function in an 84-year-old client who is taking several medications. What is a priority for the nurse to assess?

Correct Answer is C

Explanation

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

Correct Answer is C

Explanation

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