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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Acamprosate is used to help manage alcohol dependence, but it’s not typically used for acute withdrawal symptoms.

Choice B rationale:

Lorazepam is a benzodiazepine, which is the first-line treatment for alcohol withdrawal delirium due to its efficacy in reducing withdrawal symptoms and preventing complications.

Choice C rationale:

Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.

Choice D rationale:

Methadone is used for opioid dependence, not alcohol withdrawal.

So, the correct answer is B. Lorazepam.

A. Limit fluid intake to 800 ounces per day while taking this medication. B. Take the medication on an empty stomach. C. Wait up to 3 weeks to see the full effects of the medication. D. Follow a low-sodium diet.

Correct Answer is C

Explanation

Choice A rationale:

The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.

Choice B rationale:

Lithium can be taken with or without food. This instruction is not necessary.

Choice C rationale:

It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.

Choice D rationale:

The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.

So, the correct answer is C, after analyzing all choices.

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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?.

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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?.