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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. The airbag should be turned off if an infant car seat is placed in the front seat, as airbags can pose a significant risk to infants.
B. Incorrect. The car seat should be positioned at a 45° angle to prevent the infant's head from falling forward and obstructing the airway.
C. Incorrect. Placing a small cushion under the newborn's head is not recommended, as it can interfere with proper positioning and safety in the car seat.
D. Correct. The shoulder harnesses of the car seat should be positioned at the level of the infant's shoulders to ensure proper fit and safety during travel.
Correct Answer is C
Explanation
A. Elevated blood pressure is not a specific finding associated with diabetic ketoacidosis (DKA..
B. Bounding pulse might be present due to dehydration in DKA, but it's not a defining characteristic.
C. Correct. Fruity breath odor (often described as "fruity" or "acetone-like". is a characteristic sign of DKA due to the presence of ketones in the breath?
D. Clammy skin is not a specific finding associated with DKA.
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