Which of the following nursing interventions should the nurse utilize when administering Dilantin (phenytoin) in a patient who has a known seizure disorder?

Choice A rationale
Alendronate should be taken at least 30 minutes before the first food, beverage, or medication of the day with plain water only. This is because other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate.
Choice B rationale
Alendronate should not be taken with milk. This is because the calcium in the milk can bind to the alendronate, preventing it from being absorbed into the body and therefore making it less effective. This is why the patient’s statement indicates a need for further instruction.
Choice C rationale
After taking alendronate, the patient should not lie down and should remain fully upright (sitting, standing, or walking) for at least 30 minutes. This is to help alendronate reach the stomach more quickly and also to reduce the risk of irritation to the esophagus. Therefore, sitting up and reading the morning paper after taking alendronate is a correct practice.
Choice D rationale
Regular bone density tests are necessary while taking alendronate. This is to monitor the drug’s effectiveness in increasing bone mass and to adjust the treatment plan as necessary. Therefore, the patient’s statement is correct.

Choice A rationale
Hepatitis C is not typically transmitted through saliva. It is a bloodborne virus, meaning it is most commonly transmitted through exposure to infected blood.
Choice B rationale
Hepatitis C is most commonly transmitted through exposure to infected blood. This can occur through sharing drug injection equipment, receiving a tattoo or piercing at a place with poor infection control, and other ways. Coming into contact with infected blood, such as from a used needle, is a common way the virus is transmitted.
Choice C rationale
Hepatitis C is not typically transmitted through consuming contaminated food or water. It is a bloodborne virus.
Choice D rationale
While it is possible to contract Hepatitis C by sharing personal items like toothbrushes or razors with an infected person, this is less common. The virus is most commonly transmitted through exposure to infected blood.