The nurse is caring for a patient that has seizure disorder.
The nurse notes that the patient has reddened gums that bleed when oral care is given.
The nurse recognizes this finding as:
A sign of poor self-care.
A drug interaction with aspirin.
An adverse effect of the phenytoin.
A symptom of hepatotoxicity.
The Correct Answer is C
Choice A rationale
Poor self-care is not directly associated with reddened, bleeding gums in this context.
Choice B rationale
While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.
Choice C rationale
Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.
Choice D rationale
Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering the medication even if the name of the drug can be clearly read is risky because the rest of the label might contain essential information like dosage, expiration date, and other critical instructions. Administering a medication without complete labeling increases the risk of medication errors.
Choice B rationale
Discarding the entire bottle and contents and obtaining a new bottle is the safest option. It ensures that the nurse is using a medication with a fully intact label, which includes all necessary information to safely administer the medication, such as dosage, route, and expiration date.
Choice C rationale
Asking another nurse to verify the contents of the bottle is not sufficient because the torn and soiled label still lacks complete information. Without all details, there's a risk of administering the wrong dosage or an expired medication.
Choice D rationale
Finding the drug information and making a new label for the bottle is not appropriate because it does not guarantee the accuracy of the dosage or other critical details that were on the original label. It's better to use a completely labeled and verified medication bottle.
Correct Answer is B
Explanation
Choice A rationale
Cholinergic agonists primarily stimulate the parasympathetic nervous system rather than the central nervous system, affecting activities like digestion, salivation, and decreased heart rate.
Choice B rationale
Parasympathetic nervous system is the correct answer. Cholinergic agonists mimic acetylcholine and stimulate parasympathetic responses, promoting rest-and-digest functions such as reducing heart rate and enhancing glandular secretions.
Choice C rationale
The sympathetic nervous system is not stimulated by cholinergic agonists. Instead, this system is activated by adrenergic agonists, which prepare the body for fight-or-flight responses, increasing heart rate and blood pressure.
Choice D rationale
Voluntary nervous system control is not the primary target of cholinergic agonists. This system governs skeletal muscle movement and is influenced by neuromuscular junctions rather than the autonomic responses modulated by cholinergic drugs. .
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