A child is on phenytoin (Dilantin). What should the nurse encourage?
a. Fluid restriction
b. Good dental hygiene
c. A decrease in vitamin D intake
d. Taking the medication with milk
ANS: B
Chronic treatment with phenytoin may cause gum hypertrophy. Children taking phenobarbital or phenytoin should receive adequate vitamin D and folic acid because deficiencies of both have been associated with these drugs. The medication should not be taken with milk, and fluids should be encouraged, not restricted.
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