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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Jaundice may indicate liver dysfunction, which can be a serious side effect of androgen use. It requires prompt notification of the healthcare provider.
b) Acne, increased libido, and increased facial hair are common side effects of androgens but may not be considered as urgent or concerning as jaundice.
c) Increased libido and increased facial hair are expected effects of androgens and may not require immediate notification.
d) Increased facial hair is an expected effect of androgens and may not warrant immediate provider notification unless there are other concerning symptoms.
Correct Answer is A
Explanation
a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.
b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.
c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.
d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.
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