A 25 year-old female patient will begin taking phenytoin for epilepsy. The patient tells the nurse she is taking oral contraceptives (OCPs). Which response will the nurse give?
"Continue taking OCPS because phenytoin is not safe during pregnancy."
"You should use a backup method of contraception along with OCPs."
"You should stop taking OCPs because of drug-drug interactions with phenytoin."
"You should take low-dose aspirin while taking these medications to reduce your risk of stroke."
The Correct Answer is B
A. "Continue taking OCPS because phenytoin is not safe during pregnancy."
This statement is not accurate. While it's essential to address pregnancy risk, phenytoin can reduce the effectiveness of oral contraceptives. Women on phenytoin are often advised to use additional contraceptive measures.
B. "You should use a backup method of contraception along with OCPs."
This is the correct response. Phenytoin can accelerate the metabolism of oral contraceptives, potentially reducing their effectiveness. Using a backup method, such as condoms, is recommended to ensure adequate contraception.
C. "You should stop taking OCPs because of drug-drug interactions with phenytoin."
This advice is generally not recommended without consulting the healthcare provider. Abruptly stopping OCPs without an alternative form of contraception can increase the risk of unintended pregnancy.
D. "You should take low-dose aspirin while taking these medications to reduce your risk of stroke."
This statement is not relevant to the situation described. Low-dose aspirin is not typically recommended for contraception, and its use in this context does not address the potential interaction between phenytoin and oral contraceptives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
To calculate the rate of IV infusion, the nurse should divide the volume of fluid by the time in hours.
In this case, 750 mL divided by 10 hours equals 75 mL per hour.
Therefore, the nurse should program the IV infusion pump for 75 mL per hour.
Correct Answer is C
Explanation
A. Bethanechol (Urecholine)
Bethanechol is a cholinergic agonist used to treat urinary retention. It is not indicated for Alzheimer's disease.
B. Albuterol (Proventil)
Albuterol is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not indicated for Alzheimer's disease.
C. Rivastigmine
Rivastigmine is a medication commonly used for the treatment of Alzheimer's disease. It belongs to a class of drugs called cholinesterase inhibitors, which work by increasing the levels of acetylcholine in the brain. This can help improve cognitive function in individuals with Alzheimer's disease.
D. Edrophonium (Enlon)
Edrophonium is a medication used for the diagnostic evaluation of Myasthenia Gravis. It is not used in the treatment of Alzheimer's disease.
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