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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin).

Which of the following instructions should the nurse include?

(Select all that apply.).

Avoid drinking grapefruit juice while taking this medication.

Brush your teeth gently with a soft-bristled toothbrush

Wear a medical alert bracelet or necklace at all times.

Stop taking this medication if you develop a rash or fever.

Have your blood levels checked regularly as directed by your provider.

Answer and Explanation

Correct Answer : B,C,E

The correct answer is B, C, and E.

Phenytoin (Dilantin) is an anticonvulsant medication that is used to control seizures.

It can have several side effects, some of which are serious and require medical attention.

Here are some explanations for each choice:.

A. Avoid drinking grapefruit juice while taking this medication.

This is wrong because grapefruit juice does not interact with phenytoin. However, grapefruit juice can affect the levels of other medications, such as statins, calcium channel blockers, and some antidepressants.

B. Brush your teeth gently with a soft-bristled toothbrush. This is right because phenytoin can cause gingival hyperplasia, which is an overgrowth of the gums that can lead to bleeding, infection, and difficulty chewing.

To prevent this, patients should practice good oral hygiene, avoid alcohol and tobacco, and see a dentist regularly.

A. Avoid drinking grapefruit juice while taking this medication B.

Brush your teeth gently with a soft-bristled toothbrush C.

Wear a medical alert bracelet or necklace at all times D.

Stop taking this medication if you develop a rash or fever E.

Have your blood levels checked regularly as directed by your provider

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Correct Answer is B

Explanation

The correct answer isB.

Loss of muscle mass and strength.Sarcopenia is a condition that affects older adults and causes a progressive decline in skeletal muscle mass, strength, and function.This can lead to an increased risk of falls, fractures, disability, and mortality.

Choice A is wrong because the loss of bone mass and strength is calledosteoporosis, not sarcopenia.Osteoporosis is a condition that affects the density and quality of bones, making them more prone to fracture.

Choice C is wrong because loss of joint flexibility and range of motion is calledarthritis, not sarcopenia.

Arthritis is a term that refers to inflammation of the joints, which can cause pain, stiffness, swelling, and reduced mobility.

Choice D is wrong because loss of skin elasticity and moisture is calledskin aging, not sarcopenia.

Skin aging is a process that involves changes in the structure and function of the skin, such as wrinkles, sagging, dryness, and decreased wound healing.

Normal ranges for muscle mass and strength vary depending on age, sex, body size, and physical activity level.However, some general indicators of sarcopenia include:.

• A muscle mass index (muscle mass divided by height squared) below 7.26 kg/m2 for men and 5.45 kg/m2 for women.

• A handgrip strength below 30 kg for men and 20 kg for women.

• A gait speed below 0.8 m/s for both sexes.

A. Physical activity and exercise can increase your levels of serotonin and endorphins, which are natural mood boosters. B. Physical activity and exercise can improve your cardiovascular health, muscle strength, balance and flexibility. C. Physical activity and exercise can reduce your stress, anxiety, pain and inflammation. D. Physical activity and exercise can enhance your self-esteem, confidence and sense of accomplishment. E. Physical activity and exercise can help you sleep better at night and feel more refreshed in the morning.

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

Explanation

The correct answer isA, B, C, D and E.

All of these statements are true and should be included in the nurse’s education.

Physical activity and exercise have many benefits for older adults with depression, such as:.

• Increasing the levels ofserotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.

• Improvingcardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.

• Reducingstress, anxiety, pain and inflammation, which can worsen depression and affect physical health.

• Enhancingself-esteem, confidence and sense of accomplishment, which can improve self-image, social interaction and coping skills.

• Helping tosleep better at night and feel more refreshed in the morning, which can improve mood, energy and cognitive function.

Choice A is correct because physical activity and exercise can increase the levels of serotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.

Choice B is correct because physical activity and exercise can improve cardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.

Choice C is correct because physical activity and exercise can reduce stress, anxiety, pain and inflammation.

A. Physical activity and exercise can increase your levels of serotonin and endorphins, which are natural mood boosters B.

Physical activity and exercise can improve your cardiovascular health, muscle strength, balance and flexibility C.

Physical activity and exercise can reduce your stress, anxiety, pain and inflammation D.

Physical activity and exercise can enhance your self-esteem, confidence and sense of accomplishment E.

Physical activity and exercise can help you sleep better at night and feel more refreshed in the morning

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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin). Which of the following instructions should the nurse include? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has sarcopenia. The nurse knows that this condition is characterized by which of the following?

Correct Answer is B

Explanation

A nurse is educating an older adult client who has depression about the benefits of physical activity and exercise. Which of the following statements should the nurse include? (Select all that apply.).

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

Explanation

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A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin).

Which of the following instructions should the nurse include?

(Select all that apply.).