A nurse is reinforcing discharge teaching with a client who has a prescription for phenytoin.
Which of the following instructions should the nurse include in the teaching?.
Switch phenytoin brands with each refill.
Alter the phenytoin administration regimen each week.
Phenytoin turns urine blue.
Alcohol increases the chance of phenytoin toxicity.
The Correct Answer is D
Choice A rationale:
Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.
Choice B rationale:
Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.
Choice C rationale:
Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.
Choice D rationale:
Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.
So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
Step 1 is to calculate the amount of hydroxyzine HCL in each mL of the oral suspension. This is done by dividing the total amount of hydroxyzine HCL (25 mg) by the total volume (5 mL), which gives us 5 mg/mL. Step 2 is to calculate the volume of oral suspension that contains 50 mg of hydroxyzine HCL. This is done by dividing the prescribed dose (50 mg) by the concentration of the oral suspension (5 mg/mL). So, 50 mg ÷ 5 mg/mL = 10 mL.
So, the correct answer is 10 mL.
Correct Answer is C
Explanation
Choice A rationale:
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
Choice B rationale:
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
Choice C rationale:
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
Choice D rationale:
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.
So, the correct answer is C. Keep familiar personal items in client’s room.
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