You previously cared for a 38-year-old woman who has a history of seizures after a traumatic emergency cesarean section. Today, you are working in the neurology clinic, and the patient comes in for a routine follow-up appointment. The patient says that because she has not had a seizure since she was in the hospital, she questions how long she will have to continue taking the phenytoin. Which is your best response?
This medication can be stopped after you are seizure-free for a 6-month period.
Only take the medication when you are under stress because that's when you are most likely to have a seizure.
This medication might need to be continued for the rest of your life.
Your seizures are cured only as long as you take the medication.
The Correct Answer is C
Choice A reason: Stopping seizure medication such as phenytoin without medical advice can lead to life-threatening seizures. It is not recommended to stop after a set period of being seizure-free without consulting a healthcare provider.
Choice B reason: Phenytoin should not be taken only during periods of stress; it is intended to be used consistently to maintain therapeutic levels in the body.
Choice C reason: Phenytoin may need to be continued indefinitely, depending on the individual's condition and the doctor's recommendation. It is often used as a long-term treatment for seizure control.
Choice D reason: This statement is misleading; while phenytoin helps control seizures, it does not cure the underlying condition causing them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Pin site care is essential for a client with skeletal traction to prevent infection and ensure proper healing.
Choice B reason: A five-pound weight lifting restriction is not related to the care of a client with skeletal traction.
Choice C reason: Prone positioning is not typically recommended for clients with skeletal traction as it may interfere with the traction setup.
Choice D reason: Intermitent weights are not a standard intervention for skeletal traction, which requires consistent and controlled application of force.
Correct Answer is B
Explanation
Choice A reason: Requesting a job that requires sitting all day does not reflect an understanding of correct body mechanics or how to manage chronic back pain through activity.
Choice B reason: Beginning exercises to strengthen the lower back indicates that the patient understands the importance of muscle strength in supporting the spine and preventing back pain.
Choice C reason: Keeping the back straight while lifting is important, but the statement about lifting "heavy objects above my waist" suggests a misunderstanding, as lifting objects above the waist increases the risk of back injury.
Choice D reason: Sleeping with knees and back extended is not recommended for preventing back pain. It is better to sleep with knees slightly bent to maintain the natural curve of the spine.
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