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

A.

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

B.

Expect green urine due to medication metabolites

C.

Brush after every meal and floss teeth daily

D.

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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Related Questions

Correct Answer is D

Explanation

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a certain time frame is appropriate and reflects awareness of appropriate pain management strategies.

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver problems is accurate and indicates good knowledge.

d) The statement about acetaminophen masking infection-related fevers is incorrect. While acetaminophen can reduce fever, it does not mask the presence of an infection. This statement indicates a need for further teaching.

Correct Answer is C

Explanation

a) Intravenous trimethoprim/sulfamethoxazole may still induce an adverse reaction, and withholding the oral medication is the more prudent initial action.

b) Administering the dose may worsen the client's condition, and addressing the symptoms requires notifying the provider first.

c) Withholding the treatment and promptly notifying the provider about the observed symptoms is the correct immediate response to potential adverse reactions.

d) Initiating probiotics and tapering off the medication may be considerations, but the urgent action is to withhold the medication and inform the provider.

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