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?.
"I will notify my provider before taking any other medications.”.
"I have made an appointment to see my dentist next week.”.
"I'll be glad when my seizures stop so I can quit taking this medicine.”.
"I will take this medication with meals.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.
Choice B rationale:
A long red streak up the arm could indicate phlebitis, not infiltration.
Choice C rationale:
Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.
Choice D rationale:
Swelling around the IV site is a common sign of infiltration.
So, the correct answer is D. “My baby’s fingers are looking swollen.”.
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.
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