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 D

Explanation

a) Increasing the frequency of medication dosing may lead to higher overall exposure and is not necessarily related to hepatic metabolism.

b) Ordering a dose that is higher than an adult dose could result in excessive drug levels, especially in a newborn with immature hepatic function.

c) Discontinuing the drug after one or two treatments may not be necessary if the dose is appropriately adjusted based on hepatic metabolism.

d) Ordering a lower dose is appropriate because hepatic metabolism in newborns is often immature, and lower doses are required to avoid toxicity.

A. Concurrent use of acetaminophen for pain. B. An activated partial thromboplastin time (aPTT) of 80 seconds. C. An international normalized ratio (INR) of 0.8. D. Evidence of dark, tarry stools.

Correct Answer is B

Explanation

a) Concurrent use of acetaminophen is not directly related to heparin therapy for atrial fibrillation. It may need attention but does not warrant immediate reporting.

b) An aPTT of 80 seconds is significantly prolonged and may indicate a risk of bleeding due to excessive anticoagulation. This finding requires immediate notification to the healthcare provider.

c) An INR of 0.8 is within the normal range and does not pose an immediate concern in the context of heparin infusion.

d) Dark, tarry stools could indicate gastrointestinal bleeding but may not be directly related to heparin therapy. It sho

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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

A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?

Correct Answer is D

Explanation

A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?

Correct Answer is B

Explanation

Which of these statements best describes the concept of half-life?

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

Which variables can help determine the client's response to a drug? (Select all that apply.)

A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?

A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

A client is taking a drug that has potential toxic side effects. What will the nurse do?

A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)