What assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin (Dilantin)?

Bladder palpation.

Blood glucose monitoring.

Inspection of the mouth.

Auscultation of breath sounds.

Answer and Explanation

The Correct Answer is C

Choice A: This is not specifically related to the side effects of phenytoin.

Choice B: This is not directly related to the common side effects of phenytoin, which primarily affect the oral cavity.

Choice C: Phenytoin (Dilantin) is known to cause gingival hyperplasia (enlargement of the gums) as a common side effect. The nurse should regularly inspect the client's mouth to monitor for this adverse effect.

Choice D: This is not specifically relevant to monitoring for phenytoin's side effects.

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Correct Answer is A

Explanation

Choice A: Uremic frost is a symptom of advanced kidney disease and can result in deposits of urea crystals on the skin. This can cause itching and discomfort, making it difficult for the client to maintain good hygiene and self-care. Therefore, addressing hygiene self-care deficit related to uremic frost is a priority in the plan of care for a client with renal osteodystrophy.

Choice B: This is not directly related to renal osteodystrophy and is more related to the presence of a catheter.

Choice C: This is not typically associated with renal osteodystrophy unless there are specific mobility issues related to bone problems.

Choice D: This may be relevant for clients with CKD, but it is not specific to renal osteodystrophy, which primarily involves bone mineral imbalances.

A. Pickles, blackberries, seeds. B. Pickled olives, spam, nuts. C. Buttermilk, spinach, milk. D. Cheese spread, processed cheese, cheese. E. Fresh meats, fresh turkey, fresh chicken.

Correct Answer is ["C","D"]

Explanation

Choice A: Pickles, blackberries, and seeds are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice B: Pickled olives, spam, and nuts are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice C: Buttermilk, spinach, and milk are good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice D: Cheese spread, processed cheese, and cheese are also good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice E: Fresh meats, fresh turkey, and fresh chicken are not typically high in calcium and may not significantly contribute to increasing calcium intake.

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What assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin (Dilantin)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 37-year-old client diagnosed with chronic kidney disease (CKD) is being treated for renal osteodystrophy. Which nursing diagnosis is most likely to be included in this client's plan of care?

Correct Answer is A

Explanation

When conducting diet teaching for a client who was diagnosed with hypocalcemia, which foods should the nurse encourage the client to eat? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal.What food choice should the nurse encourage the client to omit?

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Before administering a parenteral nutrition solution through a central vein, the nurse should confirm information from which sources? (Select all that apply)

It is most important for the registered nurse (RN) who is working on a medical unit to provide direct supervision in which situation?

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