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 ["2.5"]

Explanation

Step 1 is to calculate the number of tablets to administer. The formula is desired dose ÷ dose per tablet. So, 5 mg ÷ 2 mg = 2.5 tablets.

So, the correct answer is 2.5 tablets.

Correct Answer is ["15"]

Explanation

Step 1: Determine how many milligrams are in each milliliter of the suspension.

Total milligrams ÷ Total milliliters
25 mg ÷ 5 mL = 5 mg/mL

Step 2: Determine how many milliliters are needed to administer 75 mg.

Desired milligrams ÷ Milligrams per milliliter
75 mg ÷ 5 mg/mL = 15 mL

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

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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?.