A nurse is conducting discharge teaching for a patient who has seizures and a new prescription for phenytoin. Which statements by the patient indicate a need for further teaching?

“I know that I cannot switch brands of this medication.”.

“I have made an appointment to see my dentist next week.”.

“I will notify my doctor before taking any other medications.”.

“I’ll be glad when I can stop taking this medicine.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Phenytoin is an antiepileptic medication used to control seizures. It’s important for the patient to understand that they should not switch brands of this medication without consulting their healthcare provider. Different brands of phenytoin can have different effects, and switching could potentially lead to changes in seizure control.

Choice B rationale

Regular dental appointments are important for patients taking phenytoin. This medication can cause gum overgrowth (gingival hyperplasia), so good oral hygiene and regular dental check- ups are essential.

Choice C rationale

It’s crucial for patients to notify their doctor before taking any other medications. Phenytoin can interact with many other drugs, altering their effectiveness or increasing side effects.

Therefore, the patient’s statement indicates an understanding of the need for caution when considering additional medications.

Choice D rationale

Phenytoin is a long-term medication for controlling seizures. It’s not something that patients can stop taking once they feel better. Abruptly stopping the medication can lead to withdrawal

seizures. Therefore, the patient’s statement, “I’ll be glad when I can stop taking this medicine,” indicates a need for further teaching about the importance of continuing the medication as prescribed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

The priority action for a nurse when caring for a patient exhibiting symptoms of a myocardial infarction is to initiate oxygen therapy. Oxygen therapy is crucial because it increases the amount of oxygen in the blood, which can help reduce the heart’s workload and relieve pain. This intervention is aimed at reducing myocardial oxygen demand and improving oxygen supply to the ischemic myocardium.

Choice B rationale

Obtaining a blood sample is important as it can help diagnose a myocardial infarction. Blood tests can measure levels of certain proteins, such as troponins, in the bloodstream that can indicate heart muscle damage. However, this is not the immediate priority when compared to initiating oxygen therapy.

Choice C rationale

Attaching the leads for a 12-lead ECG is an important step in the assessment of a patient with suspected myocardial infarction. An ECG can show whether the heart muscle has been damaged and where the damage has occurred. However, this should be done after initiating oxygen therapy.

Choice D rationale

Inserting an IV catheter is a necessary step in the management of a myocardial infarction. It allows for the administration of medications and fluids as needed. However, it is not the first priority. The first priority is to stabilize the patient, which includes initiating oxygen therapy.

A. The medication will decrease coughing episodes. B. The medication will prevent wheezing. C. The medication will open the airways. D. The medication will stimulate the flow of mucus. E. The medication will reduce inflammation.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale

Albuterol does not directly decrease coughing episodes. Coughing can be a symptom of an underlying condition like asthma, which albuterol can help manage by relaxing the muscles around the airways. However, the medication itself does not have a direct effect on coughing.

Choice B rationale

Albuterol helps prevent wheezing by relaxing the muscles around the airways, allowing them to open up and making it easier to breathe. Wheezing is a common symptom of conditions like asthma, which albuterol is often used to treat.

Choice C rationale

Albuterol works by opening the airways of the lungs, making it easier to breathe. It does this by relaxing the muscles around the airways, allowing more air to flow into the lungs.

Choice D rationale

Albuterol does not stimulate the flow of mucus. While it can help manage symptoms of conditions like asthma, it does not have a direct effect on mucus production.

Choice E rationale

Albuterol does not directly reduce inflammation. It works by relaxing the muscles around the airways, which can help alleviate symptoms of conditions characterized by inflammation, such as asthma. However, the medication itself does not have anti-inflammatory properties.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is conducting discharge teaching for a patient who has seizures and a new prescription for phenytoin. Which statements by the patient indicate a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is attending to a patient exhibiting symptoms of a myocardial infarction. Which of the following actions should the nurse prioritize?

Correct Answer is A

Explanation

A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse’s response be? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

A nurse is attending to a patient who is unable to move.Which stage of pressure injuries is most likely indicated by the presence of non-blanchable erythema on the patient’s heels?

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

A patient is starting celecoxib to treat osteoarthritis.What adverse effects should the nurse instruct the patient to monitor and report?

A nurse has completed an informed consent form with a patient.The patient then states, “I have changed my mind and do not want to have the procedure done.”. What action should the nurse take?

A nurse is caring for a client who has nausea and a prescription for metoclopramide intravenously every 8 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which explanation should the nurse provide?

A nurse is caring for a patient who is about to start ibuprofen therapy for hip pain. What information should the nurse provide about ibuprofen?