A nurse is reinforcing teaching with a female client who is taking phenytoin. Which of the following statements should the nurse include in the teaching?

"You can safely take this medication if you become pregnant."

"You can skip a dose of this medication if you are nauseated."

"You should expect to have blood work every 6 months while taking this medication."

"You might experience swollen gums while taking this medication."

Answer and Explanation

The Correct Answer is D

A.   Incorrect. Phenytoin is known to be a teratogenic medication, meaning it can cause birth defects. It is important for females of childbearing age to use effective contraception while taking phenytoin and to discuss pregnancy plans with their healthcare provider.
B.   Incorrect. Skipping a dose of phenytoin can lead to changes in blood levels of the medication and may result in decreased seizure control. Nausea should be managed with the guidance of the healthcare provider.
C.   Incorrect. Phenytoin can require regular monitoring of blood levels, but the frequency of blood work may vary based on the client's individual needs. Blood work is usually done more frequently than every 6 months, especially when starting or adjusting the medication.
D.   Correct. Phenytoin can cause gingival hyperplasia, which leads to swollen and overgrown gums. This is a common side effect that clients should be informed about.

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Correct Answer is A

Explanation

A. Correct. An incident report should be completed for any unintended event or situation that could have resulted or did result in harm to a patient. Administering the wrong dose of medication falls under this category.

B. Incorrect. The nursing care plan is a comprehensive outline of a patient's care needs and interventions and is not the appropriate place to document a medication error.

C. Incorrect. The provider's progress notes are meant to document the patient's condition, care, and progress, but they are not used to document medication errors.

D. Incorrect. The controlled substance inventory record is used to track the dispensing and administration of controlled substances, not to document medication errors.

A. Cottage cheese B. Puffed rice cereal C. Tomato juice D. Bran muffin

Correct Answer is D

Explanation

A. Cottage cheese is a dairy product that is not particularly high in fiber and might not effectively help with constipation.
B. Puffed rice cereal is often low in fiber and might not be the best choice to address constipation.
C. While tomato juice can have some benefits, it is not a high-fiber choice to help alleviate constipation.
D. Correct. Bran muffins are a good source of dietary fiber, which can help promote regular bowel movements and relieve constipation.

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A nurse is reinforcing teaching with a female client who is taking phenytoin. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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