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 ["7.5 mL."]
Explanation
To calculate the volume of fluoxetine to administer, we need to use the formula for dose conversion. Step 1 is to set up the equation: 30 mg (desired dose) ÷ (20 mg/5 mL). This simplifies to 30 mg × (5 mL/20 mg). The mg units cancel out, leaving us with the volume in mL.
So, the correct answer is 7.5 mL.
Correct Answer is ["the correct answer is 3 tablets."]
Explanation
Step 1 is to calculate the number of tablets needed to administer 225 mg of desipramine. This is done by dividing the prescribed dose (225 mg) by the strength of each tablet (75 mg). So, 225 mg ÷ 75 mg/tablet = 3 tablets.
So, the correct answer is 3 tablets.
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