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 will take this medication with meals.”

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

Answer and Explanation

The Correct Answer is D

A. “I will notify my provider before taking any other medications.” - This statement reflects an understanding of the need to check for potential interactions with other medications, which is an appropriate response.

B. “I have made an appointment to see my dentist next week.” - Dental care is important, and

scheduling an appointment with the dentist is a responsible action. However, it does not indicate a misunderstanding about the medication.

C. “I will take this medication with meals.” - Taking phenytoin with meals is a correct instruction as it can help reduce gastrointestinal side effects.

D. "I'll be glad when my seizures stop so I can quit taking this medicine." - This statement

indicates a misunderstanding about the chronic nature of anti-seizure medications. The client needs further education on the importance of continuing the medication even if seizures stop.

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Correct Answer is C

Explanation

a. Hypoglycemia: Hypokalemia is not typically associated with hypoglycemia.

b. Hyperreflexia: Hypokalemia can lead to decreased reflexes, not hyperreflexia.

c. Cardiac dysrhythmias: Hypokalemia can cause disturbances in cardiac conduction, potentially leading to dysrhythmias.

d. Increased appetite: Increased appetite is not a common manifestation of hypokalemia.

A. Tetany B. Constipation C. Negative Chvostek sign D. Elevated blood pressure

Correct Answer is A

Explanation

a. Tetany: A calcium level of 8 mg/dl is low and can be associated with tetany.

b. Constipation:This is associated with hypercalcemia as opposed to hypocalcemia

c. Negative Chvostek sign: A positive Chvostek sign is associated with hypocalcemia, not hypercalcemia.

d. Elevated blood pressure: Elevated calcium levels are not typically associated with elevated blood pressure. Hypertension is not a common manifestation of hypercalcemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client’s potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client’s hypokalemia?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has a calcium level of 8 mg/dL. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

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A nurse is caring for a client who has dysphagia following a stroke. Which of the following is the priority action for the nurse to take when feeding the client?

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