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A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.
The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

A.

"I will notify my provider before taking any other medications.”.

B.

"I have made an appointment to see my dentist next week.”.

C.

"I'll be glad when my seizures stop so I can quit taking this medicine.”.

D.

"I will take this medication with meals.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B rationale:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C rationale:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D rationale:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.

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


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Related Questions

Correct Answer is ["0.5"]

Explanation

Step 1 is to determine the amount of lorazepam that needs to be administered, which is 1 mg.

Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done using the formula:

Dose (mg) ÷ Concentration (mg/mL)

Given that the solution has a concentration of 2 mg/mL, we calculate:

1 mg ÷ 2 mg/mL = 0.5 mL

Therefore, the nurse should administer 0.5 mL of lorazepam oral solution.

Correct Answer is A

Explanation

Choice A rationale:

Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.

Choice B rationale:

Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.

Choice Crationale:

Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.

Choice Drationale:

Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.

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