A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
Taking phenytoin diminishes potassium levels.
Monitor for gingival hyperplasia.
Taking ginkgo biloba increases phenytoin levels.
Minimize exposure to sunlight.
The Correct Answer is B
B. Phenytoin is associated with gingival hyperplasia, which is an overgrowth of gum tissue. It's essential for clients taking phenytoin to maintain good oral hygiene and receive regular dental check-ups to monitor for this side effect.
A. Phenytoin is not known to directly diminish potassium levels. However, it can cause a variety of electrolyte imbalances, including hyponatremia (low sodium levels) and hypocalcemia (low calcium levels), but not typically hypokalemia (low potassium levels).
C. Ginkgo biloba is an herbal supplement that does not interact with phenytoin.
D. Phenytoin can cause photosensitivity reactions in some individuals, leading to an increased risk of sunburn. However, teaching on gingival hyperplasia is more important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Slurred speech can be a symptom of lithium toxicity. As lithium levels rise in the blood, it can affect neurological function, leading to symptoms such as confusion, drowsiness, tremors, and slurred speech.
B. Stooped posture is not typically associated with lithium toxicity. It is more commonly associated with musculoskeletal issues or neurological disorders rather than lithium toxicity.
C. Elevated blood pressure is not a typical symptom of lithium toxicity. Lithium can actually have a protective effect on blood pressure, and hypertension is not commonly associated with lithium toxicity.
D. Dry cough is not a symptom of lithium toxicity. It is more commonly associated with respiratory conditions or medication side effects rather than lithium toxicity.
Correct Answer is B
Explanation
B. Maculopapular rash is a potential adverse effect of ceftriaxone. It is a type of skin rash characterized by flat, red areas (macules) and raised, bumpy areas (papules). If a client develops a rash while taking ceftriaxone, it should be reported to the healthcare provider for evaluation.
A. Constipation is not a common adverse effect of ceftriaxone. It is more commonly associated with other medications or medical conditions unrelated to ceftriaxone.
C. Pitting edema is not a common adverse effect of ceftriaxone. It may occur as a result of other medical conditions or medications, but it is not specifically associated with ceftriaxone.
D. Concentrated urine is not a common adverse effect of ceftriaxone.
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