Which of these self-care measures should be emphasized in client education regarding phenytoin?

Gradually reduce prescribed dose if seizures do not occur for one month

Expect green urine due to medication metabolites

Brush after every meal and floss teeth daily

Instill mineral oil into both ears once a week

Answer and Explanation

The Correct Answer is C

A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.

B) Expecting green urine is not associated with phenytoin. This statement is not accurate.

C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.

D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.

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

Explanation

A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.

B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.

C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.

D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.

E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.

A. Rhabdomyolysis B. Red man syndrome C. Side effects D. Stevens-Johnson syndrome

Correct Answer is B

Explanation

A) Rhabdomyolysis is a serious condition characterized by the breakdown of skeletal muscle tissue and is not associated with the symptoms described.

B) Red man syndrome is an infusion reaction associated with the rapid infusion of vancomycin. Symptoms include flushing, rash, pruritus, urticaria, tachycardia, and hypotension.

C) Side effects are general and can include a range of symptoms. Red man syndrome is a specific reaction associated with vancomycin.

D) Stevens-Johnson syndrome is a severe skin reaction that involves blistering and peeling of the skin. It is not associated with the rapid infusion of vancomycin.

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Which of these self-care measures should be emphasized in client education regarding phenytoin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which are preventable causes of medication errors? (Select all that apply.)

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

Explanation

The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?

Correct Answer is B

Explanation

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